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NextDayLabels - UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11 500 Per Pack

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$26.77

$ 13 .99 $13.99

In Stock

1.Size:500


  • Box of 500 Sheets of UB-04 (CMS 1450) Health Insurance Claim Form
  • 1 Part 24# 8-1/2 x 11 (Letter Size) Laser / Ink-JetFormat
  • Accommodates reporting of the National Provider Identifier (NPI) number
  • 100% compliant with the approved update to the HCFA / CMS1450 health claim form
  • Made in the USA by Next Day Labels TM



Product Description

Customer Reviews
4.3 out of 5 stars 38
4.7 out of 5 stars 358
4.6 out of 5 stars 3,343
4.5 out of 5 stars 378

Lena Rossman
Reviewed in the United States on April 18, 2024
Pkg was open probably not full pkg
BRANDI
Reviewed in the United States on March 13, 2023
I've had to do some realignments on each packets because the forms are not cut the same. Was not able to use and a waste of money.
Josie J
Reviewed in the United States on August 14, 2022
Love these forms.
Micaela Debatte
Reviewed in the United States on May 6, 2020
Worked great with my printer, didn’t have to mess with aligning anything. Great!
eliana
Reviewed in the United States on October 29, 2020
the forms are as described and i had no problems with them or with the company.
Treble Smith
Reviewed in the United States on May 23, 2019
Item as described and did not have to buy a mega box just for appeals.
Inquisitively Indifferent
Reviewed in the United States on January 5, 2019
Form itself looks and feels great. Took a few tries to get our printer to line up the characters inline with the form due to the margin issues. As far as I know, no claims have been returned. No major complaints from us!
Todd & Stacy
Reviewed in the United States on December 8, 2018
The forms are good quality, easy-to-use. The shipping was fast, the product arrived undamaged.