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UB04 form
UB04 Claim Forms

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UB O4 Forms
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50 UB 04 forms
$10.00 plus shipping
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UB04 Claim Forms

UBO4 claim forms have replaced the UB92 forms and are used by hospitals, clinics, laser surgery centers, and ambulatory surgery centers to bill medical insurance claims to the insurance carriers.   Generally the  reimbursement rate higher for facility billing is higher than regular physician or professional billing.

It is very important in getting UB-04 claims paid that they are completed properly.  They require different information than the other healthcare billing form - the CMS 1500 form.  They require Rev codes, value codes, and type of bill.  

If you need help in completing the UB04 claim forms, you will be interested in our ebook "UBO4 Forms - "How to Complete A UBO4 Form Completely and Correctly, Line By Line, Box By Box."  
It walks you through the entire form explaining in easy to understand terms exactly what needs to be filled in and what can be left blank.  You can get more information at the above link.

We work with a company that has a very good "fill and print" software designed for offices that don't have a practice management system.  This software will print out the claim forms or send them electronically and stores much information.  You simply type your information onto the computer screen just as you would on a typewriter directly onto the form.

Speedy Soft has a great CMS 1500 fill and print software available now and are releasing their UB04 fill and print software in early May 2008.  The fill and print software is a great time save over typing all the info onto the claim form because the software will store patients" names and addresses and the practice info along with dx. codes.

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