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


E-File Authorization Envelope (E024)
First Class Envelope with Single Window for 1040 Forms - Moisture Seal Flap (CLNT910)
ME State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MEEST10)
NE State Estimate Tax Envelope - 3-7/8" x 87/8" (NEEST10)
Redi-Tags - Pls Sign & Date (Yellow) (3192) $74.00
IN State Estimate Tax Envelope - 3-7/8" x 8-7/8" (INEST10)
REVISED GOOD FAITH ESTIMATE
WV State Estimate Tax Envelope - 3-7/8" x 8-7/8" (WVEST10)
w-2 condensed Laser set 8 part 4up (horizontal) condensed laser set (w24down805)