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


IL State Tax Estimate Envelope - 3-7/8" x 8-7/8" (ILEST10)
MA State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MAEST10)
AL State Tax Estimate Envelope - 3-7/8" x 8-7/8" (ALEST10)
1099-MISC Kit 5pt - Preprinted Forms with Self-Seal Envelopes (MISCS5E)
W-2 Single Window Envelope 2up - Moisture Seal (SWENV05)
Embossed Income Tax Return Folder with Pockets - Oversized (FOLDER5LGX)
1099-DIV Preprinted 3-Part Kit w/ Self Seal Envelopes (DIVS3E)
AL State Tax Balance Due Envelope - 4-5/8" x 9-1/2" (ALB410)
1120-S Tax Filing Envelope, Cincinnati OH - 9" x 12" (FOHSC910)