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


OR State Estimate Tax Envelope - 3-7/8" x 8-7/8" (OREST10)
1099-S Form 4-part - 3up Self Mailer (QMS053)
RI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (RIEST10)
1099-MISC Miscellanous Income Preprinted 5-Part Kit with Moisture Seal Envelopes (MISCS5EG)
Classic Tax Return Folder FOLDER10
GA State Estimate Tax Envelope - 3-7/8" x 8-7/8" (GAEST10)
4up Blank W-2 & 1099 Form - Quadrants (4UPPERF05)
IL State Tax Estimate Envelope - 3-7/8" x 8-7/8" (ILEST10)