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


MA State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MAEST10)
MN State Estimate Tax Envelope - 3-7/8" x 8-7/8" (MNEST10)
Offset Window First Class Mail Envelope - Expandable (80015EXP)
1099-DIV Kit 3pt with Moisture-Seal Envelopes (DIVS3EG)
1099-G Pressure Seal Form - 11" Z-fold (MW355)