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


UT Federal Tax Filing Envelope for All Returns - 9" x 12" (FUT910)
ME State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MEEST10)
NE State Estimate Tax Envelope - 3-7/8" x 87/8" (NEEST10)
1099-S Form 4-part - 3up Self Mailer (QMS053)
We Love Referrals!' Heart-Shaped Label (Red) (ST15) $5.04
1099-MISC Set 4pt - Preprinted (MISCS405)
Past Due' Label (Orange) (ST09) $6.50
1065 Tax Filing Envelope, Ogden UT - 6" x 9" (FUTP610)
1040ES Tax Filing Envelope to Hartford, CT (ESCT210)