Type |
Other Forms |
Brand |
Next Day Labels |
UB-04 (CMS 1450) Health Insurance Claim Form - Pack of 500 Sheets
Laser / Ink-JetFormat / 1 Part 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
Made in the USA by Next Day Labels TM - 100% Guaranteed