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


W-2 & 1099 Blank Universal Form (B4PERF05)
Double Window Tax Return Envelope 10" x 13" (landscape) Peel & Close (ENV201PS)
GA State Estimate Tax Envelope - 3-7/8" x 8-7/8" (GAEST10)
HCFA ENVELOPE, HC10RG
1099-INT Electronic Reporting Form 2pt - 3up Self-Mailer (MMPAINT052)
NJ State Estimate Tax Envelope - 3-7/8" x 87/8" (NJEST10)
W-2 Form - Copies B/2/C/2 (Employee) - 4up Ver. 2 for High-Speed Processing Equipment (B4DWNEMP)
KS State Estimate Tax Envelope - 3-7/8" x 87/8" (KSEST10)
WV State Estimate Tax Envelope - 3-7/8" x 8-7/8" (WVEST10)