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


Debossed Folder with Alternate Windows (80XXX)
Offset Window First Class Mail Envelope - Expandable (80015EXP)
Blank Envelope #9 (BLNKES10)
Redi-Tags - Mail to Local/City (Blue) (CTLCENV14) $12.00
1099-R 4up Pressure Seal Form - 11" V-Fold (80735)
Prompt Payment is Appreciated' Label (Yellow) (ST10) $5.04
IL State Tax Envelope for Refund - 6" x 9" (ILR610)
W-2 Form - Copies B/2/C/2 (Employee) - 4up Ver. 2 for High-Speed Processing Equipment (B4DWNEMP)
WV State Estimate Tax Envelope - 3-7/8" x 8-7/8" (WVEST10)