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Who fills out the UB-04 form?

The UB-04 uniform medical billing form is the standard claim form that institutional providers use, such as hospitals and community mental health care centers.

What is the electronic equivalent to the UB-04 paper claim form?

The electronic equivalent to the UB-04 paper claim is called the. CMS-1450. The overall data stream of the electronic UB-04 file is known as a. Transaction set.

How do I print an 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.

What is the electronic version of UB-04?

The 837I (Institutional) is the standard format used by institutional providers to transmit health care claims electronically. The UB-04 Form, also known as the CMS-1450, is the standard claim form to bill Medicare Administrative Contractors (MACs) when a paper claim is allowed.

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