Refer to the UB-04 Data Specifications Manual for usage requirements. Page 7. Attachment to UB-04 Billing Instructions Notice 12-08. Inpatient Claims. You can access the UB-04 billing information adopted by the NUBC by subscribing to the Official UB-04 Data Specifications Manual. This manual, copyrighted Available Now UB-04 Products UB-04 Change License fileslib. This form, also known as the UB-04, is a uniform institutional provider bill The following layout describes the data specifications Form CMS-1450.
org) via the NUBC's Official UB-04 Data Specifications Manual. Code Structure. 2nd Digit-Type of Facility (CMS will process this as the 1st.
The Official UB-04 Data Specifications Manual 2022 Ed. available now here. National Uniform Billing Committee (NUBC)/UB-04.
What is UB-04 form used for? 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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