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 Tax Return Envelope 9" x 6" (landscape) - Peel-and-Close (ENV300PS)
We Love Referrals!' Heart-Shaped Label (Red) (ST15) $5.04
MN State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MNEST10)
RI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (RIEST10)
WI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (WIEST10)