Search
Categories
Tax Products
Real Estate Supplies/Mortgage
CHECKS SUPPLIES
PROMOTIONAL PRODUCTS

  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


Top Check Compatible Envelope
IN State Tax Filing Envelope for All Returns - 6" x 9" Scannable (INARS610)
1099-INT Form Copy B for Recipient (80485)
W-2 6-part 1-Wide - Carbonless (CW2056)
Client Copy Tax Return Folder with Pockets (8784)
Offset Window First Class Mail Envelope 9-1/2" x 12" (80015)
1099-Q 3-part 3up - Carbonless (CQ053)
W-3 Transmittal - Continuous 2-part (W3052)
1099-NEC Preprinted 5-part Kit with Moisture Seal Envelopes-NECS5EG