- UB-04 (CMS 1450) Health Insurance Claim Form
- Laser / Ink-JetFormat
- 1 Part 24# 8-1/2 x 11 (Letter Size)
- Accommodates reporting of the National Provider Identifier (NPI) number
- 100% compliant with the approved update to the HCFA / CMS1450 health claim form
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Emanuel Lee Warren
Five Stars
This is the only place I have been about to find these forms and at a reasonable price
Anita Andriash
Clean forms
Perfect condition just what I needed.
Lady-Lynda Leigh McKie
I no longer need this product, but for those who do, This is a good product
Great product
Key Tiffany Carter
Good and fast
The forms are good quality, easy-to-use. The shipping was fast, the product arrived undamaged.
Saleem Nawaz
No issues
Delivery on time and reasonable prices.
James Henry Wilkey
Five Stars
As described
Jerre Neeley
... was very excited to receive these forms at a great price!
Our billing department was very excited to receive these forms at a great price!
Yvonne Campbell
Affordable Alternative
Item as described and did not have to buy a mega box just for appeals.
Jeremy Waugh
Real UB
These are the cheapest ones I found so far! Works best with PCC!!
Jennifer Krupa-Hawk
GREAT PRODUCT
Great product at a great price. We defiantly will be using NextDayLabels again!