Sale! The Uniform Bill (UB-04) is the standardized billing form for institutional services
CMS-1450 (UB-04) form is the industry standard for submitting institutional claims for inpatient and outpatient services.The UB-04 is a uniform institutional billing claim form used by hospitals, clinics, ambulatory surgery centers, rehabilitation centers, etc.The Uniform Bill (UB-04) is the standardized billing form for institutional services.Printed UB-04

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:

Description

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

Reviews

There are no reviews yet.

Only logged in customers who have purchased this product may leave a review.