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NextDayLabels - UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11 500 Per Pack
4.0 (133 items)
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11
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$16.87 cheaper than the new price!!
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New $28.11
Product details
| Management number | 218066592 | Release Date | 2026/05/03 | List Price | $11.24 | Model Number | 218066592 | ||
|---|---|---|---|---|---|---|---|---|---|
| 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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