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


Winfiler 2012 - Blank Forms (WFBLANK12) $249.95
1099-K 2up Payee Copy B (BKB05)
Embossed Income Tax Return Folder with Pockets - Oversized (FOLDER5LGX)
GA State Estimate Tax Envelope - 3-7/8" x 8-7/8" (GAEST10)
W-2 Blank 4up Form Ver. 1 (Quadrants) with Instructions - 24# paper (4UP24
RI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (RIEST10)
ME State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MEEST10)
3up 1099-PATR Taxable Distributions From Cooperatives 4-part - Carbonless (CPATR054)
1099-INT Electronic Reporting Form 2pt - 3up Self-Mailer (MMPAINT052)