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 Envelope - Moisture Seal - 3-7/8" x 8-7/8" - #9 (E44005)
Offset Window Tax Envelope 9-5/8" x 11-5/8" - Peel & Close (80385)
Blank 1099-INT Interest Income - 2up with Instructions (BINTBLNK)
W-2 & 1099 Complete Kit for Up to 100 Filings (3638) $123.95
First Class Envelope with Single Window for 1040 Forms - Moisture Seal Flap (CLNT910)
Redi-Tag - Mail to the State (Orange) (CTSTENV14)
IL State Tax Envelope for Refund - 6" x 9" (ILR610)
Double Window Envelope - Moisture Seal - 3-5/8" x 8-5/8" - #8 (80604)
1099-MISC Kit 4pt - Preprinted Forms with Self-Seal Envelopes (MISCS4E)