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-LTC 4-part - 3up Carbonless (CLTC054)
WV State Estimate Tax Envelope - 3-7/8" x 8-7/8" (WVEST10)
OH State Estimate Tax Envelope - 3-7/8" x 8-7/8" (OHEST10)
AR State Tax No Balance Due Envelope - 6" x 9" (ARNB610)
W-3 Transmittal - Continuous 2-part (W3052)
IA State Tax Estimate Envelope - #10 (IAEST10)
IL State Tax Envelope for Refund - 6" x 9" (ILR610)
W-2 Form - Copies 2/2/B/C (Employee) - Condensed 4up Ver. 1 (Quadrants) (80071)
MORTGAGE APPLICATION KIT-PATRIOTIC-LETTER