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Where can you find UB-04 form samples?

A:

Quick Answer

Users can download a sample of the UB-04 form and instructions for completing it at CMS.gov, the Center for Medicare and Medicaid Services site, and at BCBSNC.com. The UB-04 Uniform Bill form is the billing form used by health care providers to bill health insurers such as Medicare.

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Users can also purchase the form in bulk sets of 500 or 1,000 at office supply stores such as Office Depot, which sells the forms on its website and in stores. Software that enables users to download and complete the forms on their computers is available through sites such as Download.com. Office supply stores such as Office Depot and Staples sell similar software packages.

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