Nextdaylabels
UB-04 (CMS 1450) Health Hospital Insurance Claim Form | Laser & Inkjet Compatible | 8-1/2 x 11" Letter Size | 250 Forms Per Pack | Made in USA
Free shipping with 3 or more products in your cart
Payflex: Pay in 4 interest-free payments of R391.00. Read the FAQ
R 1,564
In stock
Duties, insurance and VAT included
Delivered in 10–20 working days —
Free shipping with 3 or more products in your cart
Secure checkout
Your payment is fully protected
Duties & VAT included
No surprise charges at the door
Tracked delivery
Track your order end to end
Returns support
30-day return window
Description
- PROUDLY MADE IN USA — Manufactured in the United States by NextDayLabels, a trusted name in professional forms and labels since 1996. Dependable quality built to meet the demands of busy healthcare billing environments.
- STANDARD UB-04 / 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 major commercial insurers.
- LASER & INKJET COMPATIBLE — Designed for flawless performance on virtually any standard laser or inkjet printer. Sharp, accurate output helps minimize claim rejections and keeps your billing workflow running smoothly.
- PRECISE SPECIFICATIONS FOR COMPLIANCE — 1-Part, 24 lb. paper, 8½ x 11" letter size. Fully accommodates reporting of the National Provider Identifier (NPI) and all required billing data fields for complete regulatory compliance.
- 250-FORM VALUE PACK — IDEAL FOR HIGH-VOLUME BILLING — A generous supply of 250 forms per pack, perfect for larger medical offices, hospital billing departments, and healthcare facilities that process claims regularly and need a reliable, cost-efficient stock.
Technical Specifications
Manufacturer
Next Day Labels
Model
UB04-250
Color
Red
Size
250
Shipping & Delivery
Your order is shipped from the USA and delivered to your door in South Africa in 10–20 working days. All items are fully tracked.
Returns & Exchanges
We offer a 30-day return window. If something isn't right, contact our support team and we'll make it right.