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


NE State Estimate Tax Envelope - 3-7/8" x 87/8" (NEEST10)
Preprinted 1095-B Full Page Form w/Instructions (B95BFPREC05)
1040ES Tax Filing Envelope to Hartford, CT (ESCT210)
NJ State Estimate Tax Envelope - 3-7/8" x 87/8" (NJEST10)
1120 Tax Filing Envelope, Ogden UT - 6" x 9" (FUTC610)
Blank Envelope #9 (BLNKES10)
GA State Estimate Tax Envelope - 3-7/8" x 8-7/8" (GAEST10)
Double Window "First Class Mail" Envelope 9-1/2" x 12" (CCLNT910)
WV State Estimate Tax Envelope - 3-7/8" x 8-7/8" (WVEST10)