Home >

UB-04 Hospital Claim Form (UB04CF)
UB-04 Hospital Claim Form (UB04CF)
 



Product Code: UB04CF

SELECT A QTY

QTY & PRICE (Scroll Down)*:


Description
 
The UB04 Hospital Claim Form contains a number of improvements and enhancements that include better alignment with the electronic HIPAA ASC X12N 837-Institutional Transaction Standard.
Specifications
  • UB-04 Hospital Claim Form (UB04CF)

Share your knowledge of this product with other customers... Be the first to write a review


1120 Tax Filing Envelope, Ogden UT - 9" x 12" (FUTC910)
IA State Tax Estimate Envelope - #10 (IAEST10)
REVISED GOOD FAITH ESTIMATE
W-2 Double Window Envelope 4up Ver. 1 for Inserting Equipment - Moisture Seal (4UPALT9)
1099-DIV 2up Dividends and Distributions - 5 part Carbonless (CDIV054)
IL State Tax Estimate Envelope - 3-7/8" x 8-7/8" (ILEST10)
Preprinted 1095-C Full Page Form w/Instructions (B95CFPREC05)
ME State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MEEST10)
Classic Tax Return Folder FOLDER10