• shivangi srivastava 8
  • NEWBIE
  • 0 Points
  • Member since 2014

  • Chatter
    Feed
  • 0
    Best Answers
  • 1
    Likes Received
  • 0
    Likes Given
  • 1
    Questions
  • 0
    Replies

Hi All,
Do anyone has ever worked on building UB-04 form in VF page?

UB-04 Form:
http://www.bcbsnc.com/assets/providers/public/pdfs/ub04.pdf

It would be helpful if any one have dimensions for each of the cell present in the form.

Thanks,

Shivangi

Hi All,
Do anyone has ever worked on building UB-04 form in VF page?

UB-04 Form:
http://www.bcbsnc.com/assets/providers/public/pdfs/ub04.pdf

It would be helpful if any one have dimensions for each of the cell present in the form.

Thanks,

Shivangi