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


Double Window "First Class Mail" Envelope 9-1/2" x 12" (CCLNT910)
Pressure Seal 1095-C with instructions on back (PS95CMW)
WV State Estimate Tax Envelope - 3-7/8" x 8-7/8" (WVEST10)
1040ES Tax Filing Envelope to Hartford, CT (ESCT210)
MO State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MOEST10)
w-2 condensed Laser set 8 part 4up (horizontal) condensed laser set (w24down805)
W-2 - Copy A - 2up (BW2FED05)
Double Window Envelope - Moisture Seal - 3-7/8" x 9-1/8" (80595)
W-2 & 1099 Blank Universal Form (B4PERF05)