CMS-1500 & UB-04 Claim Form Software helps medical practices, hospitals, healthcare facilities, and billing services prepare, save, retrieve, validate, preview, and print medical claim forms.
The software includes the CMS-1500 form for professional medical services and the UB-04 form for institutional and facility billing.
Key features include:
- Complete CMS-1500 claims on screen
- Prepare UB-04 institutional claims
- Enter patient, insured, payer, provider, diagnosis, procedure, and charge information
- Save and retrieve completed claim records
- Built-in claim validation
- Print and Print Preview
- Easy-to-use Windows desktop program
- Data stored locally on your computer
- Licensed for up to two users for one year
- No monthly subscription fees
- U.S.-based customer support
Both CMS-1500 and UB-04 form preparation are included with the software.
This software assists with preparing and printing medical claim forms. It does not verify insurance coverage, electronically submit claims, or guarantee reimbursement.




