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


Double Window Envelope - Moisture Seal - 3-3/4" x 8-5/8" (E938)
1099-INT Form Copy B for Recipient (80485)
W-2 Envelope - 3up Double Window with Moisture Seal (1973)
MI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MIEST10)
1099 3up Single Window Envelope - Moisture Seal (99SWENV05)
AZ State Tax Estimate Envelope - 3-7/8" x 8-7/8" (AZEST10)
1065 Tax Filing Envelope, Ogden UT - 6" x 9" (FUTP610)
2up 1099-INT Interest Income 3-part - Carbonless (CINT053)
NJ State Estimate Tax Envelope - 3-7/8" x 87/8" (NJEST10)