Custom Format IL Public Aid

Custom Format Illinois Department of Public Aid form

Designed specifically to meet your needs, our UB92 and HCFA custom formats save you countless hours of programming, positioning, and report designing in Medisoft.

Retail Price: $199.00

Our Price: $199.00

Features

• The UB92 format allows you to print a UB92 form to a file to insurance carriers
• The IL Public Aid form allows you to print the IL DPA 2360 format for submitting paper claims to IL Medicaid.