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-Q 3-part 3up - Carbonless (CQ053)
285B, Real Estate Folder, Left Panel List, Letter Size, Blue
E-File Authorization Envelope (E024)
1099-S Form - Copy C (Filer or State) (BSPAY05)
1094-C Employer Health Transmittal Kit (B1094CS05)
1099-A Form - Copy B (Borrower) (BAREC05)
W-2 Continuous Employee 3-pt (TSCW2EE053)
W-2c Form - Copy 2 - Employee State/City/Local (80077)