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


GA 1040EZ Tax Envelope - #10 (FGAEZ10)
Redi-Tag - Mail to the State (Orange) (CTSTENV14)
1099-MISC Kit 4pt - Preprinted Forms with Self-Seal Envelopes (MISCS4E)
WV State Estimate Tax Envelope - 3-7/8" x 8-7/8" (WVEST10)
Double Window Folder with Side-Staple Tabs and Pocket FLSSWBL
Past Due' Label (Orange) (ST09) $6.50
1099-INT Electronic Reporting Form 2pt - 3up Self-Mailer (MMPAINT052)
CA Federal 1040 Tax Filing Envelope - 9" x 12" (FCA910)
MA State Tax Envelope for Refund - 6" x 9" (MARS610)