UB-04 Billing Package – 200 Forms w PDF – FREE Priority Shipping

$55.00 $48.00

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 

You may also like…