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Product Details
✓PROUDLY MADE IN USA — Manufactured in the United States by NextDayLabels, a trusted name in professional forms and labels since 1996. Quality you can count on, every time.
✓STANDARD UB-04 / CMS 1450 FORM — The official uniform billing format required by hospitals, skilled nursing facilities, and other institutional providers for submitting health insurance claims to Medicare, Medicaid, and major insurers.
✓LASER & INKJET COMPATIBLE — Engineered for seamless printing on virtually any standard laser or inkjet printer. Crisp, clean output ensures accurate claim submission and reduces rejection risk.
✓LETTER SIZE | PERFECT SPECIFICATIONS — 1-Part, 24 lb. paper, 8½ x 11" (letter size). Accommodates reporting of the National Provider Identifier (NPI) and all required billing fields for full compliance.
✓GREAT VALUE PACK — Includes 100 forms per pack, ideal for medical offices, billing departments, and healthcare facilities that need a reliable, cost-effective supply of claim forms.