Uniform Bill (UB-04) Billing Package – 200 Count

$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

A perfect solution for providers submitting UB-04 paper claims. Used by hospitals, clinics, ambulatory surgery centers and rehabilitation centers billing insurance companies for services rendered.

  • Immediate Download of UB-04 PDF after purchase with Credit Card or PayPal.
  • 200 Count Paper Claims Shipped Priority Mail.

The UB-04 Billing Claim Form (CMS-1450) is used for facility and ancillary paper billing. Approved by the Centers for Medicare & Medicaid Services (CMS) and the National Uniform Billing Committee (NUBC).

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