What are UB-04 forms? These kinds of form are very often heard in the world of medical billing together with CMS 1500 forms or HCFA forms. However, not many people know how to fill one out.
The UB-04 claim form is used more by facilities like clinics, hospitals, inpatient or outpatient treatment centers, rehab centers, ambulatory surgery centers, etc rather than individual regular physicians to bill their health insurance. The CMS 1500 claim forms are the ones used for physician billings or specialists.
There are times that a person is trying to get an insurance claim paid and they’re told to file it on a UB-04 claim form. Most of the times, these people paid for the services up front and then tried to get the reimbursement from the insurance company. This is not a problem for the insurance company as long as the claim is submitted on a UB-04 form. But, this seems to be a problem for a lot of people. It is very difficult to complete the form without any experience before or proper training.
Fields required to be filled on a UB-04 form include rev codes, value codes and type of bill that aren’t required in the CMS 1500 form. How do you know what to put in these fields?
Rev codes refer to the procedure codes. The type of bill is a three digit number that states the facility’s type, classification of the bill and the bill frequency. The value codes are only required in certain situations. There’s also what’s called NPI numbers that you need to understand completely to determine where you should be entering an individual NPI number or a group NPI number.
Other fields you need to fill in a UB-04 form are lots of conditional fields. Some situations need these fields to be filled while some don’t.
If in the future you need to file a claim on a UB-04 form, make sure you look into it fully or get help from a ub04 claim forms service to avoid your claims being denied time after time due to incomplete or incorrect data filled and also to get your claim paid as soon as possible.