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 Miscellaneous Income Preprinted 3pt Kit with Tamper Evident Envelopes (MISCS3TE) 25 filings $45.00
Double Window Tax Organizer Envelope 11-1/2" x 9" (landscape) (LA100)
GA 1040EZ Tax Envelope - #10 (FGAEZ10)
W-2 Blank 4up Form Ver. 2 (Horizontal) with Instructions (4DWNPERF05)
GA State Estimate Tax Envelope - 3-7/8" x 8-7/8" (GAEST10)
DENTAL FORM, PATIENT DOCUMENTATION OF ALL TREATMENTS,DF9124
2up 1099-INT Interest Income 3-part - Carbonless (CINT053)
1120 Tax Filing Envelope, Ogden UT - 6" x 9" (FUTC610)
Past Due' Label (Orange) (ST09) $6.50