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-2c Form - Preprinted Copy 1 - Employer State/City/Local or Record (80076)
1099-MISC 2up Miscellanous Income - 2 part Electronic Filing Self-Mailer (MMPAMIS052)
W-2 Envelope - 3up Double Window with Moisture Seal (1973)
1099-S Form 4-part - 3up Carbonless (CS054)
Classic Tax Return Folder FOLDER10
Oversized Blank Pocket Folder (FOLDER8LGX)
RI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (RIEST10)
Preprinted 1095-C Full Page Form w/Instructions (B95CFPREC05)
AL State Tax Estimate Envelope - 3-7/8" x 8-7/8" (ALEST10)