ADA Dental Claim Fillable PDF
Type into the claim form and print a complete copy on plain paper.
$59.95
Order software
Choose the medical claim product you need
Order online for electronic delivery and activation. Applicable sales tax, when required, is calculated during checkout.
30 days
Money-back guarantee
Review the full return terms on the Policies page.
Paper filing software
Annual Windows licenses for preparing and printing claim forms.
| Product | License | Price | Order |
|---|---|---|---|
| CMS-1500 Paper Filing Software | 2 users · annual | $99 | Buy CMS-1500 |
| CMS-1500 Paper Filing Software | 5 users · annual | $149.95 | Buy 5-User |
| UB-04 Paper Filing Software | 2 users · annual | $99 | Buy UB-04 |
| UB-04 Paper Filing Software | 5 users · annual | $149.95 | Buy 5-User |
Fillable medical claim forms
CMS-485 Fillable PDF
Complete and print the Home Health Certification and Plan of Care form.
$59.95
Frequently asked questions
How is the software delivered?
The software is downloaded and activated electronically. The checkout process provides the next steps after purchase.
Can I test before ordering?
Yes. Download the CMS-1500 or UB-04 trial and test the program on your computer and printer.
Is technical support included?
Phone and email support is available for installation, activation, importing, and printing questions.
What is the return policy?
Software purchases are covered by the 30-day money-back policy described on the Policies page.