Q:
What is a UB-04 form?
A:
Quick Answer
A UB-04 form is a standard billing claim form used by insurance carriers for medical claims. The form was originally developed for the Centers for Medicare and Medicaid but was adopted by other institutional providers.
Continue ReadingFull Answer
Institutional providers that can use the UB-04 form for medical claims include hospitals, Native American health service facilities, rural health clinics and organ procurement organizations. The form is made up of 81 separate fields that are known as "FLs" or "form locators." Each locator is used for a specific purpose, though, as of 2014, some are not in use. FLs not in use in a UB-04 form include form locators 30 and 37.
Learn more about Health InsuranceSources:
Related Questions
-
Q:
How can you contact Medicare?
A: For questions about a billing issue, claim, medical record or expense, Medicare suggests calling 1-800-MEDICARE (1-800-633-4227). The TTY phone number for ... Full Answer >Filed Under: -
Q:
What are the benefits of CIGNA PPO dental insurance?
A: Benefits of Cigna PPO dental insurance include access to a large national network of dentists, convenient payment and billing options, quality customer ser... Full Answer >Filed Under: -
Q:
When do you need to use the CMS-1500 claim form?
A: Individuals at health care organizations that are except from electronic claim filing use the CMS-1500 claim form whenever they need to file a reimbursemen... Full Answer >Filed Under: -
Q:
Is Aflac's wellness benefit claim form available online?
A: Aflac's wellness benefit claim form is available online by visiting Aflac.com, clicking on Enter under the Individuals and Policyholders heading, and then ... Full Answer >Filed Under:
You May Also Like
-
Q:
What are some services of Blue Cross Blue Shield of Michigan?
-
Q:
What form of geological activity does the Great Rift Valley represent?
-
Q:
What are the rules for Medicaid eligibility in Ohio?
-
Q:
What companies offers medical forms that can be accessed online?
-
Q:
What is the Medicare QMB program?
-
Q:
How does a fire tornado form?
