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UB04 Forms (HCFA 1450) - UB92 Forms

Get the new UB04 Forms (HCFA 1450) for both Laser and Pinfeed printers.

2500 Form Cases As Low As $30.00!!  CLICK HERE TO ORDER

We make ordering UB04 Forms easy with competitive prices.

Simply click on the link below for more information or to order laser compatible or pinfeed UB92 a/ HCFA 1450 / UB04 claim forms. Then select the options you need and order! It's that simple.

Quick Facts About Our UB04 (HCFA 1450) Forms
  • 24 - 48 Hour Turnaround
  • Instant Online Pricing
  • Minimum Order Is Just 100 UB04 Forms
  • UPS Ground Shipping available to most US states In 3 Days or Less
  • Discounts on Purchases of more than 1 Carton
  • 100% compliant with the approved update to the HCFA 1450 health claim form
  • Approved by the NUCC.
Why use our UB04 Forms?
UB04 forms on traditional paper may not scan correctly when processed by insurance carriers, resulting in delayed or denied payments to you and your patients. For this reason, we strongly urge you to order our special laser-paper UB04 forms. Our forms are printed on special OCR (optical character recognition) paper to ensure the highest possible degree of scanning accuracy. The UB 04 Form (HCFA 1450) from JustCMS1500Forms is compatible with the vast majority of black and white or color laser printers.


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