UB-04 Billing Package

$65.00 $55.00

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

SKU: UB-04-1User+200ct Category: Tag:


Immediate Download of UB-04 PDF after purchase with Credit Card or PayPal. 200 Count Paper Claims shipped priority Mail. Purchase of the UB-04 PDF entitles the user to perpetual use of the form, for an unlimited amount of time. The purchased files may not be shared, transferred or used by others.

Additional information

With Calculations


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