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.