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


SC State Tax E-file Envcelope - #10 (SCEF410)
ME State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MEEST10)
W-2 Double Window Envelope 4up Ver. 2 for High-Speed Equip - Moisture Seal (4356)
1099-INT Interest Income - Copy B Recipient (BINTREC05) (BINTREC05)
CA State Tax Filing Envelope for Balance Due - 6" x 9" (CAB610)
Taxpayer's Copy' Label (White) (ST05) $6.50
1099 3up Single Window Envelope - Moisture Seal (99SWENV05)
1120 Tax Filing Envelope, Cincinnati OH - 6" x 9" (FOHC610)
1065 Tax Filing Envelope, Ogden UT - 9" x 12" (FUTP910)