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


GA Federal Tax Filing Envelope for All Returns - 9" x 12" (FGA910)
First Class Envelope with Single Window for 1040 Forms - Moisture Seal Flap (CLNT910)
Prompt Payment is Appreciated' Label (Yellow) (ST10) $5.04
MA State Tax Envelope for Refund - 6" x 9" (MARS610)
Double Window Tax Return Envelope 10" x 13" (landscape) (ENV201)
Taxpayer's Copy' Label (White) (ST05) $6.50
OR State Tax Envelope for Balance Due - #10 (ORB610)
1099-DIV Set Set 4-part - Blank (DIVSET405)
W-2 Blank 4up Form Ver. 1 (Quadrants) with Instructions - 24# paper (4UP24