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    Verywell Health
    https://www.verywellhealth.com

    How the UB-04 Form Is Used to Bill Insurance …

    • Learn what the UB-04 form is, who can use it, and how to fill it out correctly. The UB-04 is a standard claim form for institutional providers to bill Medicare, Medicaid, and other health insurance companies.… See more

    Who Can Bill Claims Using The UB-04?

    Any institutional provider can use the UB-04 for billing medical claims. Non-institutional providers or suppliers, such as physicians or providers of durable medical equipment… See more

    Verywell Health
    Tips For Preparing The UB-04

    To fill out the form accurately and completely: 1. Check with each insurance payer to determine what data is required. 2. Ensure that all data is entered accurately and in the c… See more

    Verywell Health
    Fields of The UB-04

    There are 81 fields or lines on a UB-04. They're referred to as form locators or "FL." Each form locator has a unique purpose: 1. 1: Billing provider name, street address, city, state, … See more

    Verywell Health
    Should I use a UB-04 or CMS 1500 form?
    The decision to use a UB-04 form instead of a CMS 1500 form depends on the type of healthcare provider and the services being provided.
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