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 - 6" x 9" (FUTC610)
Large Single Window Envelope with Patriotic Design (CLNT9P10)
1040V Tax Envelope Atlanta, GA - #10 (VGA210)
MORTGAGE APPLICATION KIT-CONTEMPORARY-LETTER
1099-C Cancellation of Debt - 3up - 4 Part - Carbonless (CC054)
Embossed Income Tax Return Folder with Pockets (FOLDER5XX)
E-File Authorization Envelope (E024)
Double Window Tax Organizer Envelope 11-1/2" x 9" (landscape) (LA100)
DENTAL ANESTHETIC, PATIENT DOCUMENTATION OF TREATMENTS,27003