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


We Love Referrals!' Heart-Shaped Label (Red) (ST15) $5.04
ME State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MEEST10)
W-2 Double Window Envelope 4up Ver. 1 for Inserting Equipment - Moisture Seal (4UPALT9)
1099-MISC 2up Miscellanous Income - 2 part Electronic Filing Self-Mailer (MMPAMIS052)
1099-K 2up Payee Copy B (BKB05)