What Are Ub 04 Codes

What are UB04 Condition Codes? This form, also known as the UB-04, is a uniform institutional provider bill suitable for use in billing multiple third party payers. Because it serves many payers, a particular payer may not need some data elements.

What does UB-04 mean?

The UB-04 uniform medical billing form is the standard claim form that any institutional provider can use for the billing of inpatient or outpatient medical and mental health claims. It is a paper claim form printed with red ink on white standard paper.

What are the four sections of the UB-04 claim form?

  • Credentialing. Section 2:
  • Contracting. Section 3:
  • Hospital Inpatient Notifications. Section 4:
  • Transfer of Patients to/from Facilities. Section 5:
  • Hospital Bill Audits. Section 6:
  • UB-04 (CMS 1450) Guidelines. Section 7:
  • Interim Bills and Late Charges. Section 8:
  • Sample UB-04 (CMS 1450) Claim Form. Section 9:
Alexander Ross

Alexander Ross

Gaming, Esports & Interactive Media Writer

Alexander Ross has covered the video game industry for a decade, writing deep dives on game design, esports tournaments, VR developments, and gaming culture.

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