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.Printed UB-04The UB-04 is a uniform institutional billing claim form used by hospitals, clinics, ambulatory surgery centers, rehabilitation centers, etc.UB-04 Facility / Institution  Billing



The UB 04 PDF Form Filler is 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
 Prints Text Only on Pre-Printed Claim Forms
 Install on up to 2 Computers



Download UB-04 PDF immediately after purchase with Credit Card or PayPal account. 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.


There are no reviews yet.

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