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UB-04 - 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! Type information on the screen as it would be typed on the form itself.

• 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.

• Full year of automatic software updates.