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


KS State Estimate Tax Envelope - 3-7/8" x 87/8" (KSEST10)
1099-R 4up Double Window Env (RALT9)
IA State Tax Estimate Envelope - #10 (IAEST10)
Double Window Folder with Side-Staple Tabs and Pocket FLSSWBL
MI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MIEST10)
Tax Folder with Top-Staple Tabs and Offset Windows (50D)
W-2 Form - Copies B/2/C/2 (Employee) - 4up Ver. 2 for High-Speed Processing Equipment (B4DWNEMP)
1120-S Tax Filing Envelope, Cincinnati OH - 9" x 12" (FOHSC910)
1099-DIV Kit 4pt with Moisture-Seal Envelopes (DIVS4EG)