Our Fillable PDF Template of the CMS 1500 and UB-04 can be used by health care providers to bill for services. This HIPAA compliant solution is easy to download and use. Type in the form fields and print your first claim in just minutes! Billing Claim Forms The CMS 1500 (HCFA) and UB-04 Health Insurance Claim Forms.
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CMS 1500 Health Insurance Paper Claim Forms (02/12) FREE Priority Shipping
$29.00 – $49.00 Select options This product has multiple variants. The options may be chosen on the product page CMS 1500 PDF
$39.00 Add to cart- Sale!
CMS 1500 Billing Package – Fillable PDF with 200 Paper Claim Forms FREE priority shipping
Original price was: $59.00.$49.00Current price is: $49.00. Add to cart - Sale!
UB-04 Billing Package – 200 Forms w PDF – FREE Priority Shipping
Original price was: $69.00.$59.00Current price is: $59.00. Add to cart - Sale!
CMS 1500 Pro Billing Package
Original price was: $69.00.$59.00Current price is: $59.00. Add to cart
