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 Kit 3pt - Preprinted Forms with Moisture-Seal Envelopes (MISCS3EG)
MN State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MNEST10)
DENTAL FORM, PATIENT DOCUMENTATION OF ALL TREATMENTS,DF9124
1099-MISC Miscellaneous Income Preprinted 3pt Kit with Tamper Evident Envelopes (MISCS3TE) 25 filings $45.00
1120-S Tax Filing Envelope Ogden, UT - 6" x 9" (FUTSC610)
First Class Envelope with Single Window for 1040 Forms - Moisture Seal Flap (CLNT910)
1099-MISC Kit 3pt - Preprinted Forms with Self-Seal Envelopes (MISCS3E)
Tax Return Folder with Side-Staple Tabs and Official 1040 Window - Ivory & Burgundy (TABCVRO10)