UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" (250) 1" x 2-5/8" - 30 Per Page - 3000 Labels) Green 24# BLANK Laser Check

Green 24# BLANK Laser Check Stock - Check on Bottom

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High-Quality Labels - 33 up Laser/Inkjet Labels are bright white and created with high quality and permanent strong self-adhesive materials

63 Up Blue Fluorescent Laser Labels

UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" (250) 1" x 2-5/8" - 30 Per Page - 3000 Labels) Green 24# BLANK Laser CheckCMS 1450 UB 04 Form Next Day Labels UB04 CMS 1450 forms are completely compliant with NUBC format and coding requirements: Pack of 250 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