UB-04 Billing Package – 200 Forms w PDF – FREE Priority Shipping
Original price was: $69.00.$59.00Current price is: $59.00.
The UB 04 PDF Form Filler and 200 paper claim forms. Ideal for completing the standard claim form used by institutional health care providers to bill for services.
Type, Print & Save as PDF
Create unlimited claims/templates
Install on up to 2 Computers
Automatic Form Calculations – adds up the charges for you
200 Red Paper Claim Forms
Free Priority Mail Shipping
Description
The UB-04 Billing Package includes the Fillable UB 04 PDF Form and 200 paper claim forms. Also known as the CMS 1450, used by institutional healthcare providers.
Type, Print & Save as PDF
Create unlimited claims/templates
Install on up to 2 Computers
200 Red Paper Claim Forms
Free Priority Mail Shipping