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


Double Window Envelope - Moisture Seal - 4-1/8" x 9 1/2" - #10 (81553)
Patriotic Folder (TAXCVR3N)
MI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MIEST10)
1099-PATR Form - Copy B (Recipient) (BPATRRC05)
W-2c 6-part Form - Carbonless (CW2C056)
1099-S Form 4-part - 3up Self Mailer (QMS053)
5498-ESA Form - Copy A (Federal) (BESAFED05)
E-File Authorization Envelope (E024)
W-3 Transmittal - Continuous 2-part (W3052)