(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
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
- Printer Alignment that
calibrates the form with your printer.
Technical support is FREE within the first year of
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
The complete list of
changes can be
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:
information on the screen as it would be typed on the form
Insert the form
in your printer and print perfectly on top of the form. You can
adjust alignment at any time.
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
any comments or questions you might have.