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


Blank Envelope #9 (BLNKES10)
W-2 Form - Copies B/2/C/2 (Employee) - 4up Ver. 2 for High-Speed Processing Equipment (B4DWNEMP)
1120-S Tax Filing Envelope, Cincinnati OH - 9" x 12" (FOHSC910)
GA State Estimate Tax Envelope - 3-7/8" x 8-7/8" (GAEST10)
Tax Folder with Top-Staple Tabs and Offset Windows (50D)
KS State Estimate Tax Envelope - 3-7/8" x 87/8" (KSEST10)
KY State Estimate Tax Envelope - 3-7/8" x 8-7/8" (KYEST10)
RI State Estimate Tax Envelope - 3-7/8" x 8-7/8" (RIEST10)
W-2 - Copy A - 2up (BW2FED05)