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)
1099-S Form - Copy C (Filer or State) (BSPAY05)
Past Due' Label (Orange) (ST09) $6.50
1094-C Employer Health Transmittal Kit (B1094CS05)
1099-INT Electronic Reporting Form 2pt - 3up Self-Mailer (MMPAINT052)
GA Federal Tax Filing Envelope - 6" x 9" (FGA610)
HCFA ENVELOPE, HC10RG
1099-INT Interest Income - Copy B Recipient (BINTREC05) (BINTREC05)
5498-ESA Form - Copy A (Federal) (BESAFED05)