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


AR State Tax Balance Due Envelope - 4-5/8" x 9-1/2" (ARB410)
W-2 Double Window Envelopes - 4up Quadrant - Moisture Seal (398)
1099-PATR Form - Copy B (Recipient) (BPATRRC05)
W-2 Double Window Envelope 4up Ver. 2 - Self-Seal (4356S)