NextDayLabels Health Hospital, UB-04 (CMS 1450), 8.5 x 11", Pack of 100

NextDayLabels Health Hospital, UB-04 (CMS 1450), 8.5 x 11", Pack of 100

Product ID: B01AS68O62 Condition: New

Selected Option: 100
Variations
$ 83
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
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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