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UB-04 (CMS-1450) Claim Form Software
Promotion Price: $69.95
  Retail:  $119.95

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Order online and we will e-mail you instructions on how to activate the software quickly and easily.

Fill UB-04 (UB-92) health insurance claim forms the quick and easy way.

UB92 and UB-04 Forms are medical insurance claim forms used by facilities such as hospitals, inpatient and outpatient clinics and ambulatory surgery centers to bill insurance companies for services rendered.

The UB-04s are similar to the CMS or HCFA 1500 forms, but used by hospitals and clinics rather than physician or other provider services.

  • Easy to use!  Simple interface that is easy to learn.
  • Save and load claims anywhere on your hard drive or to external diskettes for quick retrieval.
  • Create templates for quick completion and to eliminate redundant typing.
  • Prints on pre-printed red Medicare forms with data alignment or print the entire form in color or black & white. Create unlimited claims.
  • Printer Alignment that calibrates the form with your printer.
  • Technical support is FREE within the first year of purchase.
CMS-1500 Form

At its February 2005 meeting, the National Uniform Billing Committee (NUBC) approved the UB-04 (CMS-1450) as the replacement for the UB-92. Effective March 1, 2007, institutional claim filers such as hospitals, skilled nursing facilities, hospices, and others can begin using the UB-04.


The UB-04 forms come with a number of improvements and enhancements over the UB92 forms.  They are more in line with the 837 format and they allow for the reporting of the NPI number, or National Provider Identifier number.  

The complete list of changes can be reviewed at:

About Our Software...

The form has the look and feel of a normal sheet of paper printed with a special red ink.  If your filing by paper, the form must be submitted on their page with their special ink.

With our software, you:

  1. Type information on the screen as it would be typed on the form itself.

  2. Insert the form in your printer and print perfectly on top of the form. You can adjust alignment at any time.

  3. Print the form and data separately for personal records.

It's as simple as 1, 2, 3!

Data entered may be stored/saved anywhere on your hard drive or to external diskettes for quick retrieval.

Please send an e-mail to info@1500SoftPro.com with any comments or questions you might have.


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