These are the HCFA 1450 UB04 forms which replaced the UB92 forms which are no longer acceptable.
Competitive prices. Pack of 100 forms minimum order on the UB04's.
We make ordering the UB04 Forms (HCFA 1450 forms) for laser printer easy.
Simply click on the link below for more information or to order laser compatible or pinfeed UB92 and UB04 (HCFA 1450) claim forms. Then select the options you need, and order!
Quick Facts About Our UB04 (HCFA 1450) Forms
24 - 48 Hour Turnaround
Instant Online Pricing
Minimum Order Is Just 100 UB04 Forms
UPS Ground To Most Of 48 States In 3 Days Or Less
Discounts For More Than 1 Carton Purchases
100% compliant with the approved update to the HCFA 1450 health claim form
Approved by the NUCC.
The UB04 (HCFA 1450) form in the laser printer version is compatible with the vast majority of black and white or color laser printers. The paper used in the laser printer version of the UB04 claim form is a special paper. If you use traditional printer paper, your UB04 forms might not scan correctly when processed by insurance carriers. Incorrect scans result in delayed or denied payments to you and to your patients. We 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.
