The Form CMS-1450, also known as the UB-04, is the standard claim form to bill Medicare Administrative Contractors (MACs) when a paper claim is allowed.
The Office of Management and Budget and the National Uniform Billing Committee have approved the UB-04 claim form, also known as the CMS-1450 form.
WizClaim™ Pro 2018
Universal Medical Claim App
HEALTH - DENTAL - HOSPITAL
Healthcare - UB-04 (CMS-1450) Claim Form
(Product Road Map Add-on Feature planned for Future Release)