![UB04CF - UB-04 Hospital Claim Form UB04CF - UB-04 Hospital Claim Form](https://cdn11.bigcommerce.com/s-fssudep34y/images/stencil/500x659/products/724/2361/ub04cf__01796.1621281791.png?c=1)
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These Medical Claim Forms are used to submit and process health insurance claims to Medicare and Medicaid clearing houses for services provided by health care professionals.