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the standard claim form used by physician's offices, health-care providers to bill for services, UB-04 claim form. Also known as the CMS-1450. Claim form used by hospitals and medical facilities for billing procedures and services. Allows for revenue codes.
The UB-04 (CMS-1450) form is the claim form for institutional facilities such as hospitals or outpatient facilities. This would include things like surgery, radiology, laboratory, or other facility services. The HCFA-1500 form (CMS-1500) is used to submit charges covered under Medicare Part B.
The CMS-1500 claim form is used to submit non-institutional claims for health care services provided by physicians, other providers and suppliers to Medicare. It is also used for submitting claims to many private payers and Medicaid programs, as well as other government health insurance programs.
An Electronic Health Record (EHR) is an electronic version of a patients medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, ...
The UB-04 is the electronic version of CMS-1450 only.

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When a physician has a private practice but performs services at an institutional facility such as a hospital or outpatient facility, the CMS-1500 form would be used to bill for their services. The UB-04 (CMS-1450) form is the claim form for institutional facilities such as hospitals or outpatient facilities.
The Office of Management and Budget and the National Uniform Billing Committee have approved the UB-04 claim form, also known as the CMS-1450 form. The UB-04 claim form accommodates the National Provider Identifier (NPI) and has incorporated other important changes.
The UB-O4 form is used by institutions to bill Medicare or Medicaid and other insurance companies.
The ANSI ASC X12N 837P (Professional) Version 5010A1 is the current electronic claim version.
Acronym. Definition. UB-04. Uniform Billing Form (claims)

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