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What is the difference between a CMS 1500 form and UB-04 form?

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.

What is the electronic version of UB-04?

The UB-04 is the electronic version of CMS-1450 only.

What is the UB04 form?

The UB04 claim form is used to submit claims for inpatient and outpatient services by institutional facilities (for example, outpatient departments, Rural Health Clinics, chronic dialysis and Adult Day Health Care).

What is the UB-04 claim form used for?

The CMS-1450 form (aka UB-04 at present) can be used by an institutional provider to bill a Medicare fiscal intermediary (FI) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of claims.

What is the electronic version of the CMS-1500?

The ANSI ASC X12N 837P (Professional) Version 5010A1 is the current electronic claim version.

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What is another name for UB-04 claim forms?

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.

Who submits a UB04 form?

All institutional providers may use the UB-04 form to bill claims, such as hospitals, specialists, mental health centers, hospices, rehabs, organ procurement organizations and therapy services.

Who uses UB-04 forms?

The UB-04 (CMS 1450) is a claim form used by hospitals, nursing facilities, in-patient, and other facility providers. A specific facility provider of service may also utilize this type of form.

How do I print a UB-04 form?

Printing UB-04 Claims Select the UB-04 claims. ... Correct any errors in the UB-04 claims. ... Add additional information to the UB-04 forms. ... Right-click on an insurance claim or insurance carrier and select Print UB04 to print the UB-04 form and send it to your insurance carrier in the mail.

When would you use a UB-04 form?

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.

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