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When CMS allows a paper claim, the Form CMS-1450, also known as the UB-04, is the standard claim form to bill Medicare Administrative Contractors (MACs).
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 abbreviation HCFA stands for Health Care Finance Administration. As you might guess from this name, the HCFA 1500 has official origins. Its the work of the Centers for Medicare Medicaid Services (CMS), which initially devised it to facilitate Medicare and Medicaid reimbursements.
The American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X12N 837I (837 Institutional) Version 5010A2 claim format is the electronic format used to submit claims.
PURPOSE OF HEALTH INSURANCE CLAIM FORM - HCFA-1500. The Form HCFA-1500 answers the needs of many health insurers. It is the basic form prescribed by HCFA for the Medicare program for claims from physicians and suppliers, except for ambulance services.
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Depending on your state, the transition away from HCFA was finalized sometime between 2007 and 2008. After these dates were finalized, all insurance companies, the national government, and all medical providers are required to use the CMS 1500 claims forms, complete with their NPI numbers.
CMS-1500 Form (sometimes called HCFA 1500): This is the standard health insurance claim form used for submitting physician and professional claims to bill Medicare providers. In other words, the CMS-1500 is used for individual provider claims and is used to submit charges under Medicare Part-B.
CMS-1450 is another name for the UB-04 and the Medicare-required Part A claim form. CMS-1450 is a Medicaid-only form. CMS-1450 and CMS-1500 are interchangeable. CMS-1500 is required for Medicare Part A claims.
The Form HCFA-1500 answers the needs of many health insurers. It is the basic form prescribed by HCFA for the Medicare program for claims from physicians and suppliers, except for ambulance services.
The CMS-1500 form is the standard claim form used by a non-institutional provider or supplier to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of

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