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


Estimate Envelope - Maryland #9 (MDEST10)
ClientTax Record & Receipt Envelope (TAXENV10)
Embossed Income Tax Return Folder with Pockets - Oversized (FOLDER5LGX)
1120 Tax Filing Envelope, Ogden UT - 6" x 9" (FUTC610)
NE State Estimate Tax Envelope - 3-7/8" x 87/8" (NEEST10)
MORTGAGE APPLICATION KIT-PATRIOTIC-LEGAL
MI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MIEST10)
IN State Estimate Tax Envelope - 3-7/8" x 8-7/8" (INEST10)
1099-INT Electronic Reporting Form 2pt - 3up Self-Mailer (MMPAINT052)