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


1099-NEC Prepr 4pt Kit SS Env-NECS4E
1099-INT Interest Income - Copy B Recipient (BINTREC05) (BINTREC05)
OK State Estimate Tax Envelope - 3-7/8" x 8-7/8" (OKEST10)
1099-MISC 2up Miscellanous Income - 3 part non dated Electronic Filing Self-Mailer (MMMISND053)
w-2 condensed Laser set 8 part 4up (horizontal) condensed laser set (w24down805)
1099-R Kit 4pt - Preprinted Forms with Moisture-Seal Envelopes (RS4EG)
3up 1099-PATR Taxable Distributions From Cooperatives 4-part - Carbonless (CPATR054)
W-2 Blank 4up Form Ver. 1 (Quadrants) with Instructions - 24# paper (4UP24
Estimate Tax Filing Envelope with Double Window - #10 (ENV500)