UB-04 (CMS-1450) form filler software, allows you to fill out UB-04 forms on your PC. EDI claims to a clearinghouse (electronically submit) in Print Image format. Saves and loads claims to your hard drive. Prints on pre-purchased UB-04 forms OR print the entire form in either color or black and white. Create templates for speed of completion and to eliminate repetition. A simple interface with Help boxes for ease of use. AutoFill for repetitive transactions in Rows 1-22.