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)
1040V Tax Envelope Atlanta, GA - #10 (VGA210)
AR State Tax Balance Due Envelope - 4-5/8" x 9-1/2" (ARB410)
1120-S Tax Filing Envelope, Cincinnati OH - 9" x 12" (FOHSC910)
1120 Tax Filing Envelope, Ogden UT - 6" x 9" (FUTC610)
REVISED GOOD FAITH ESTIMATE
KY State Estimate Tax Envelope - 3-7/8" x 8-7/8" (KYEST10)
Redi Tags - Sign Here- Refill (Red) (81024R14) $6.15
NJ State Estimate Tax Envelope - 3-7/8" x 87/8" (NJEST10)