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

★★★★★ 5.0 126 reviews

$28.11
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$28.11
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Free shipping Free 30-day returns

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Product details

Management number 217967686 Release Date 2026/05/03 List Price $11.24 Model Number 217967686
Category
  • 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
Size 500
Brand NextDayLabels
Item Weight 5.1 pounds
Manufacturer Next Day Labels
Material Type Paper
Item model number 74522
Product Dimensions 10.3 x 8.5 x 2 inches
Manufacturer Part Number UB-04
Is Discontinued By Manufacturer No

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