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


W-2 Blank 4up Form Ver. 1 (Quadrants) with Instructions - 24# paper (4UP24
W-2 & 1099 Blank Universal Form (B4PERF05)
CA State Tax Filing Envelope for Balance Due - 9" x 12" (CAB910)
ME State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MEEST10)
IN State Tax Envelope for Returns with a Payment - 6" x 9" (INB610)
SC State Tax Envelope for Balance Due - #10 (SCB410)
1040V Tax Envelope Hartford, CT - #10 (VCT210)
W-2 Form - Copies B/2/C/2 (Employee) - 4up Ver. 2 for High-Speed Processing Equipment (B4DWNEMP)
5498-ESA Form - Copy A (Federal) (BESAFED05)