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


w2 1099 catalog
RI State Tax E-file Envelope - #10 (RIEF410)
CA State Tax Filing Envelope for Balance Due - 9" x 12" (CAB910)
Double Window Envelope - Self Seal - 9 1/2 " x 12" (C80596)
1099-MISC Kit 3pt - Preprinted Forms with Moisture-Seal Envelopes (MISCS3EG)
1096 Transmittal Form - 1up (B109605)
W-2 Blank 4up Form Ver. 2 (Horizontal) with Instructions (4DWNPERF05)
LA State Estimate Tax Envelope - 3-7/8" x 8-7/8" (LAEST10)
IA State Tax Estimate Envelope - #10 (IAEST10)