Ub04 Forms for facility Billing - Make Sure They Are Completed Properly

1500 Claim Form - Ub04 Forms for facility Billing - Make Sure They Are Completed Properly

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If your clinic or office is established as a factory by the insurance company, you are required to file your healing insurance claims on Ub04 forms rather than Cms 1500 claim forms. Many providers' claims are denied because they are filed on Cms forms. These offices don't know what to do as they not familiar with the Ub04s.

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1500 Claim Form

Ub04 forms (formerly Ub92 forms) are quite a bit distinct than Cms or Hcfa forms and want distinct information. They can be very confusing, but it is leading to unblemished the Ub04 correctly if you expect payment from the insurance companies.

Rev codes, type of bill, and value codes are required on the Ub form. These are all new to those of us who have only completed Cms 1500 forms. You must be able to figure out what to put in these fields to unblemished the claim properly.

Many of the insurance carriers have distinct requirements for what data goes in each box on the Ub04 form. For example, one business may want a determined rev code for the service you are billing for, while other business may want a totally distinct rev code for the same service.

We bill for an outpatient drug and alcohol rehab facility. Bcbs requires rev code 945 but Ubh requires we bill it with rev code 0513. It is exactly the same service but if we want the claim to be paid, that's what we have to do. It is leading to know the distinct requirements for each of the insurance carriers that you bill to.

If one required box is not completed, the claim will be denied by the insurance carrier. If Cpt codes are entered instead of Rev codes, the claim will be denied. It is not difficult to get Ub04 claims paid, it is just important to understand what the required data is.

Make sure you know how to unblemished these forms correctly so you will receive maximum refund for your insurance claims when you are required to use the Ub04 form.

Copyright 2008 - Alice Scott

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