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Demystifying the UB-04 Claim Form

Running a medical facility is a complex job. Amidst all of the other important work you do, one of the most critical jobs to execute correctly is the processing of patient medical claims to comply with insurance regulations. Without accurate records and an understanding of appropriate forms, administrative chaos can ensue, patients can become frustrated and your medical facility’s reputation can be compromised. One of the vital forms is the UB-04 claim form, previously known as the CMS-1450 claim form. In 2007, the UB-04 form replaced the UB-92 form. Here at Denials Management, we believe that as a healthcare provider, your time should be spent restoring your patient’s health. That is why we offer third-party medical billing, claims, and denial management services. One of the forms we use most often is the UB-04 and we are here to help you understand what is a UB-04, and how can your establishment use it.

Profile of the UB-04 Form

The CMS (Center for Medicare and Medicaid Services) developed the UB-04 claim form to establish a standard billing form that can be used by a provider of institutional medical or mental health services. To make the form stand out more clearly in the library of forms used in healthcare services, it is printed in red ink.

Users of the UB-04 Form

This claim form is designed to be useful to a wide range of medical facilities, such as:

  • General health centers, federal health centers, and rural clinics
  • Specialized health centers, e.g. mental health, renal care, and rehabilitation clinics
  • Therapist facilities, e.g. physical therapy, occupational therapy, and speech therapy
  • Hospitals
  • Hospices

A variety of medical claim forms exist for billing, but if your medical center matches one of these descriptions, then you ought to opt for the UB-04 claim form. Given how many types of medical centers exist in the United States, the confusion around the UB-04 claim form is understandable. Many medical centers are unsure if this is the correct form to use. Our expert staff at Denials Management can help you determine if the UB-04 form is appropriate for your establishment.

Contact Us

FixMyClaim is here to help

We understand the difficulty and urgency of your situation, which is why we are here to answer any of your questions and are ready to start appealing your claim denial! Call us today or register now to be connected with one of our insurance claim denial experts.

866-322-0787

4424 S 700 East
Suite #200
Salt Lake City, UT 84107 

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