UB 04 Forms

Institutional healthcare providers use a UB-04 Form to submit claims for reimbursement to insurance carriers, including Medicare and Medicaid. The form captures key information about services rendered, provider details, and billing codes to ensure accurate and timely payment.

In medical billing, "UB" stands for uniform billing. It refers to the standardized format developed for institutional claims processing across healthcare facilities.

The UB-04 Form allows up to 25 diagnosis codes to be reported per claim. This helps ensure that all relevant medical conditions associated with the patient’s care are properly documented.

Yes, Medicare accepts UB-04 claims from institutional providers such as hospitals and rehabilitation centers. It is the required claim format for billing inpatient, outpatient, and facility-based services.