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


1099-MISC Set 4pt - Preprinted (MISCS405)
MN State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MNEST10)
W-2 Blank 4up Form Ver. 1 (Quadrants) with Instructions - 24# paper (4UP24
3up Blank 1099-MISC Form with Employee Instructions on Back
Income Tax Return Presentation Envelope 13" x 10" (COMPENVX)
5498-SA 3up HSA, Archer MSA, or Medicare Advantage MSA Information - Trustee Copy C (9381)
1099-INT Interest Income - Copy B Recipient (BINTREC05) (BINTREC05)
RI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (RIEST10)
285B, Real Estate Folder, Left Panel List, Letter Size, Blue