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Now available for
immediate download 

UB04 book 

Do you need just a few
UB04 Forms
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50 UB 04 forms
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UB04 form

UB04 Forms

     UBO4 Forms are medical insurance claim forms used by facilities such as hospitals, inpatient and outpatient clinics and ambulatory surgery centers to bill insurance companies for services rendered.  Read more information on facility or clinic billing an our Facility/Clinic Billing page.

Do you have an insurance claim you need to get filed on a UB04 claim form?
If you are running into problems getting an inpatient rehab insurance claim paid, we can help you.
More information on
getting your insurance claim paid.

     The UBO4s are similar to the CMS or HCFA 1500 forms, but used by hospitals and clinics for medical billing rather than physician or other provider services.  Rev codes are used in place of CPT codes and you are required to use a "type of bill".

     UBO4 forms can be a little intimidating to complete correctly.  We get many questions on our "Ask the Biller" page concerning properly completing these forms.  If the UB04s are not completed correctly, they likely will be denied by the insurance company.  Lately more and more insurance companies are insisting that claims for facilities be submitted on the UB04 form in order to be considered for reimbursement.

  Don't let your claims get denied for not knowing how to complete the UBO4 form correctly. We can help. We've written a book for clinics, residential facilities, and nursing homes to explain in simple language exactly what to enter on the UBO4 form to get your claims paid properly.


Now available is our book "UBO4 Forms - How to Complete the UB-04 Form Completely and Correctly".   We take you line by line and box by box explaining each line on the form.  We not only tell you which boxes are required but we explain what the insurance company is looking for in each box and line.  This book is now available in e-book format for immediate download. You can start completing your UB04 forms correctly today. Here is more information and a link to order 
"UB O4 Forms - How To Complete A UB O4 Form Completely and Correctly - Line By Line, Box By Box".  
Here is more information on our selection of learning aids for medical billers

     The UB O4 forms come with a number of improvements and enhancements over the UB92 forms.  They are more in line with the 837 format and they allow for the reporting of the NPI number, or National Provider Identifier number.  

     The new UB04 forms were available in the beginning of 2007 but they were not  accepted for billing until March 1, 2007.  From March lst to May 22, 2007 providers were allowed to use either the old UB92 or the new UB04.  Starting May 23, 2007 health plans accepted the new UB04 forms and format. 

     If you are submitting claims electronically, you should contact your software vendor now to find out what changes need to be made to your system to allow for the new format.

     If you are submitting your UB forms on paper, you need to make sure your software is capable of printing the new UBO4 forms.  Unless you recently upgraded your software, most likely it will need some changes.

     It is important that you submit your medical claims in the format required and on the correct forms if you want your services paid for. 

Here is more information on other books by Alice Scott and Michele Redmond

basic medical billing cms1500 instructions mental health billing medical billing business medical billing business
medical billing business chiropractic book medical billing book
Medicare enrollment 855I Medicare enrollment 855I

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