Free & Fast Shipping
You have no items in your shopping cart.
SKU: 8385
$20.85
Availability:
Many In Stock
CMS-1450 / UB-04 Form
Next Day Labels UB04 / CMS 1450 forms are completely compliant with NUBC format and coding requirements:
- Pack of 100 Sheets 8-1/2 x 11, Letter Size 1 part Laser / Ink-Jet Form
- All fields, boxes, and Layout consistently to line up 100% with billing software
- Printed in the USA by Next Day Labels TM with red OCR ink GPO standards
- All forms adhere to strict government standards developed by HIPAA in accordance with American Hospital Association
- Our 92 Bright White 20# lb paper meets all standard requirements for UB-04 forms and allows for easily feeding through laser or inkjet printers without worrying about jamming
100% Refund
Our clients’ happiness is our priority. We absolutely stand behind our products and will make sure you are completely satisfied. Buying items virtually may be more challenging than buying the physical product in a store, since you cannot see the actual item. We at Next Day Labels understand that. If our product isn’t everything you were hoping for, simply return it to us for a 100% refund.
- 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
We're currently collecting product reviews for this item. In the meantime, here are some reviews from our past customers sharing their overall shopping experience.
4.9
Out of 5.0
Overall Rating
99%
of customers that buyfrom this merchant give
them a 4 or 5-Star rating.
March 3, 2025 by Felix D. (Maryland, US)
“√”
February 18, 2025 by Richard R. (California, US)
“Awsome”
February 9, 2025 by Paul B. (Louisiana, US)
“Easy to order and free shipping!!!”
Also Purchased
2 Part Carbonless Patients Sign in Forms (50)
2 Part confidentially sign in forms is approved and required by the HIPAA, Every single patient who comes in to the dr. office will sign on the next line removable...
$55.20
2 Part Carbonless Patients Sign in Forms (100)
2 Part confidentially sign in forms is approved and required by the HIPAA, Every single patient who comes in to the dr. office will sign on the next line removable...
$110.41
2 Part Carbonless Patients Sign in Forms (250)
2 Part confidentially sign in forms is approved and required by the HIPAA, Every single patient who comes in to the dr. office will sign on the next line removable...
$238.62
NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Green)
Green color carbon-less 3 part sign in forms is required by the HIPAA, Every single patient who comes in to the doctor (medical) office will sign on the next line...
$27.18
NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Blue)
Blue color carbon-less 2 part sign in forms is required by the HIPAA, Every single patient who comes in to the doctor (medical) office will sign on the next line...
$25.19
NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Purple)
Pack of 25 Sets Patients Sign in Sheets (Purple) Confidentiality and privacy are of key importance in professional medical offices, and our Next Day Labels Patient sign-in sheets are the...
$25.19
NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Burgundy)
Burgundy color carbon-less 3 part sign in forms is required by the HIPAA, Every single patient who comes in to the doctor (medical) office will sign on the next line...
$25.19
