Uniform Bill (UB-04) Billing Package – 500 Count


The UB 04 PDF Form Filler and 500 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
 500 Red Paper Claim Forms
 Free Priority Mail Shipping


A perfect solution for providers submitting Uniform Bill (UB-04) paper claims, otherwise known as the CMS 1450. 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.
  • 500 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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