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.