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


IN State Estimate Tax Envelope - 3-7/8" x 8-7/8" (INEST10)
1099-INT 4pt - 3up Self-Mailer (QMINT054)
UT Federal Tax Filing Envelope for All Returns - 6" x 9" (FUT610)
MORTGAGE POCKET FOLDER-LETTER SIZE-SOUTHWEST
Green Designer Tax Return Folder (TAXCVR110)
Form W-2 - Emp Copies 1/D - 4up Ver 1 Quadrants (80026)
Blank Envelope #10 (4 1/8 x 9 1/2) (4697)
MI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MIEST10)
W-2 Double Window Envelope - 4up Ver. 1 (DWR4)