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


DENTAL CHARTING SYSTEM POCKET FOLDER, 26998
1099-G Form - Copy A (Federal) (BGFED05)
Embossed Income Tax Return Folder with Pockets (FOLDER5XX)
1099-C Cancellation of Debt - 3up - 4 Part - Carbonless (CC054)
1099-OID Form - Copy B (Recipient) (BOIDREC05)
1099-INT Interest Income - Copy B Recipient (BINTREC05) (BINTREC05)
1099-NEC 2up Recipient Copy B-BNECREC05
1099-CAP Form - Copy A (Federal) (BCAPFED05)
Double Window Tax Return Envelope 11-1/2" x 9-1/2" (landscape) Peel-and-Close (LA400PS)