| Do you need to get a UB04 form completed for an | | | | filed correctly on a UB04 form. Often times people are |
| insurance company? What is a UB04 form? Where | | | | trying to collect many thousands of dollars on the claim. |
| do you find one? And how do you fill it out? We run | | | | Required fields on the UBO4 form include rev codes, |
| across these questions often in the world of medical | | | | value codes and type of bill. What do you put in these |
| billing. Most medical health insurance claims are filed on | | | | fields? These forms can be very confusing. Where do |
| CMS 1500 forms (sometimes called HCFA forms). | | | | you get the correct information to complete the |
| These are more common to most people. Many billers | | | | forms? And which fields are required on the form? If |
| don't know when to use the CMS forms and when to | | | | the facility does not have a UB04 form to fill out, |
| use the UB 04 forms. | | | | where do you get one? |
| The UB04 claim form is used by facilities rather than | | | | Unfortunately the answers are not easy. The Rev |
| physicians for their health insurance billing. Hospitals, | | | | codes represent the procedure codes. The type of bill |
| rehabilitation centers, ambulatory surgery centers, | | | | is a three digit number that represents the type of |
| clinics, etc need to bill their services on the UB04 form | | | | facility, the bill classification and the frequency of the bill. |
| in order to get paid. Physician billing is done on the CMS | | | | The value codes are required fields only in certain |
| 1500 claim forms. | | | | situations. It is very difficult to complete these forms |
| Every once in awhile we get a call from a person who | | | | correctly without previous experience or proper |
| is trying to get an insurance claim paid and they are | | | | training. Another catch is that the forms were changed |
| told by the insurance company that they must file the | | | | in May 2007 to allow for use of the NPI number. You |
| claim on a UB04 claim form. These people don't have | | | | must understand NPI numbers completely to determine |
| a clue what this form is or how to complete it. They | | | | where you should be entering an individual NPI number |
| may have had to admit a loved one into a drug and | | | | or a group NPI number. And when you try to find |
| alcohol rehab facility and now find that the facility | | | | UB04 forms for sale, you find they are available in |
| doesn't participate with their insurance plan. These | | | | boxes of 2500. |
| facilities often don't file UB04 forms and can not help | | | | If you find yourself needing to file a claim on a UB04 |
| the family get reimbursed by the insurance company. | | | | form and don't know what you are doing, make sure |
| Many times the family has paid up front for the | | | | you look into it fully. Claims are often denied time after |
| services of the facility and are now trying to get the | | | | time for information being incomplete or incorrect. If |
| insurance company to reimburse them. The insurance | | | | your claim is for a lot of money, you may not want to |
| policy may pay out of network but the claim must be | | | | wait months for payment. |