UB04 Uniform Bill Claims Fiachra Forms Charting Solutions
Claim Form Ub 04. The form is also known as the uniform billing. Enter the name and address of the hospital/facility.
The form is also known as the uniform billing. Enter the name and address of the hospital/facility. Billing provider name & address.
The form is also known as the uniform billing. Enter the name and address of the hospital/facility. Billing provider name & address. The form is also known as the uniform billing.