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


1099-R 4up Double Window Env (RALT9)
MA State Tax Envelope for Refund - 6" x 9" (MARS610)
Double Window Envelope - Self Seal - 9 1/2 " x 12" (C80596)
1040ES Tax Filing Envelope to Hartford, CT (ESCT210)
WV State Estimate Tax Envelope - 3-7/8" x 8-7/8" (WVEST10)
1065 Tax Filing Envelope, Ogden UT - 6" x 9" (FUTP610)
Double Window Envelope - Moisture Seal - 3-7/8" x 8-7/8" - #9 (E44005)
Form W-2 - Emp Copies 1/D - 4up Ver 1 Quadrants (80026)
2up 1099-INT Interest Income 3-part - Carbonless (CINT053)