Printing Blank Forms

Follow the instructions below to print a blank form.

Select the "Forms" menu.

The "Form" menu and its sub-menus

Select one of the following claim forms that the HIPAA Claim Master can display:

CMS-1500 (0805 NPI)
CMS-1500 (0212 NPI)
UB 92
UB 04 (NPI)
ADA 2000
ADA 2004
ADA 2006 (NPI)

Clicking on this menu displays a blank form depending on the choice of claim type. This form can be sent to the Printer by clicking on the "Print" button.

Display of a blank ADA 2000 form

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Publish modules to the "offcanvs" position.