Office Products > Forms, Recordkeeping & Money Handling > Human Resources Forms > Insurance Claim Forms
NextDayLabels Health Hospital, UB-04 (CMS 1450), 8.5 x 11", Pack of 100
Product ID: B01AS68O62
Condition: New
Selected Option: 100
$ 83
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
Secure Transaction
VISA
Mastercard
ozow
Product Description
NextDayLabels Health Hospital, UB-04 (CMS 1450), 8.5 x 11", Pack of 100
- PROUDLY MADE IN USA — Manufactured in the United States by NextDayLabels, a trusted name in professional forms and labels since 1996. Quality you can count on, every time.
- STANDARD UB-04 / CMS 1450 FORM — The official uniform billing format required by hospitals, skilled nursing facilities, and other institutional providers for submitting health insurance claims to Medicare, Medicaid, and major insurers.
- LASER & INKJET COMPATIBLE — Engineered for seamless printing on virtually any standard laser or inkjet printer. Crisp, clean output ensures accurate claim submission and reduces rejection risk.
- LETTER SIZE | PERFECT SPECIFICATIONS — 1-Part, 24 lb. paper, 8½ x 11" (letter size). Accommodates reporting of the National Provider Identifier (NPI) and all required billing fields for full compliance.
- GREAT VALUE PACK — Includes 100 forms per pack, ideal for medical offices, billing departments, and healthcare facilities that need a reliable, cost-effective supply of claim forms.
Pack of 100 Forms
Technical Specifications
Country
USA
Brand
NextDayLabels
Manufacturer
Next Day Labels
PartNumber
UB04-1
Model
OP-7410
Color
Red
Height
0.6
Length
11
Weight
0.000625
Width
8.1
Size
100
NumberOfItems
100









