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PROUDLY MADE IN USA Manufactured in the United States by NextDayLabels, a trusted name in professional forms and labels since 1996. Built to the highest quality standards to support the most demanding healthcare billing operations.STANDARD UB04 CMS 1450 FORM The official uniform billing format required by hospitals, skilled nursing facilities, and institutional providers for submitting health insurance claims to Medicare, Medicaid, and all major commercial insurers. Fully NUBC compliant.LASER INKJET COMPATIBLE Engineered for flawless, jamfree performance on virtually any standard laser or inkjet printer. Clean, precise redink printing ensures every field is legible and claimready, reducing costly rejections and delays.EXACT SPECIFICATIONS FOR FULL COMPLIANCE 1Part, 24 lb. paper, 8 x 11 letter size. Accommodates all required billing data fields including the National Provider Identifier NPI meeting HIPAA, CMS, and NUBC formatting standards.500FORM BULK PACK MAXIMUM VALUE FOR HIGHVOLUME FACILITIES A full box of 500 forms delivers outstanding costperform value, ideal for large hospitals, multiprovider billing centers, and healthcare networks that need a steady, dependable supply without constant reordering. MORE DETAILS asin B074TT35B8 bestsellersrank 46,529 in Office Products See Top 100 in Office Products 5 in Health Insurance Claim Forms brand NextDayLabels color White customerreviews 4.5 4.5 out of 5 stars 185 4.5 out of 5 stars datefirstavailable January 17, 2016 itemmodelnumber 74522 itemweight 5.1 pounds manufacturer Next Day Labels manufacturerpartnumber UB04 materialtype Paper productdimensions 10.3 x 8.5 x 2 inches size 500
