Billing Provider Forms 2025

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Versions Form popularity Fillable & printable
2023 4.6 Satisfied (22 Votes)
2012 4 Satisfied (27 Votes)
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CMS-1500 form is used for professional billing. The 837-P, which is the electronic counterpart of the CMS 1500 form, is used in professional billing. The letter P refers to professional configuration.
The UB-04 claim form is used to submit claims for outpatient services by institutional facilities (for example, outpatient departments, Rural Health Clinics and chronic dialysis centers).
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 two most common claim forms are the CMS-1500 and the UB-04. These two forms look and operate similarly, but they are not interchangeable. The UB-04 is based on the CMS-1500, but is actually a variation on itits also known as the CMS-1450 form.
The CMS-1500 form and the 837-P These are the standard forms that the Centers for Medicare and Medicaid Services (CMS) require non-institutional healthcare professionals, like doctors offices, to use for Medicare claims submissions. They are also widely accepted by other government and commercial payers.
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