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) 11ZBT Pressure Seal Z Fold

11ZBT Pressure Seal Z Fold Open Format for Document or Check Printing Quick Overview Item Number: 11ZBT Pressure Seal is replacing many envelope mailing systems

4 Up Pink Fluorescent Labels

We source our paper from North American mills that actively work to sustain our environment

3 Checks Per Sheet

Green 24# BLANK Laser Check Stock - Check on Bottom

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) 11ZBT Pressure Seal Z FoldCMS 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