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


1099-S Form - Copy C (Filer or State) (BSPAY05)
DENTAL FORM, DF9152
DENTAL FORM, PATIENT DOCUMENTATION OF ALL TREATMENTS,DF9124
1099-MISC Miscellaneous Income Preprinted 3pt Kit with Tamper Evident Envelopes (MISCS3TE) 25 filings $45.00
1099-INT Interest Income - Copy B Recipient (BINTREC05) (BINTREC05)
ME State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MEEST10)
TX Federal 1040 Envelope for Returns without Payment - #10 (FTXRF10)
GA State Estimate Tax Envelope - 3-7/8" x 8-7/8" (GAEST10)
CA 1040 Tax Filing Envelope with Checklist - 6" x 9" (E105R)