Key Points of UB04 Claim Form The National Uniform Billing Committee approved the Uniform Bill (UB-04)

paper claim in 2005 as a replacement of UB-92 paper form !ccording to latest reg"lations# all medical claims m"st $e s"$mitted "sing UB04 claim form %o&ever# it onl' applies to claims that are s"$mitted in paper# prominence of &hich is grad"all' decreasing toda' The latest version of paper "niform $ill $' instit"tional healthcare providers and comprises of core data elements that are important for efficient claims processing in toda'(s m"ndane environment The form is maintained $' NUBC and contains a n"m$er of ma)or improvements over UB-92# incl"ding improved alignment &ith electronic remittance advice Comparison* UB-92 and UB-04 UB04 form# initiated $' NUBC# incl"des ma)or enhancements and improvements over and a$ove UB-92 This incl"des + ,-reater n"m$er of condition code fields# from . to // , 01panding the si2e of diagnosis field for accommodating 3C4 /0 medical codes# 5resen on !dmission reporting# and electronic remittance ,01panding proced"re field si2e for accommodating 3C4-/0-5C6 codes ,3ncl"ding three "ni7"e fields for 0 code reporting ,Ne&er fields representing the c"rrent version of 3C4 classification "sed ,01panding n"m$er of fields for diagnosis# from 9 to /8 ,0liminating provider representative signat"re fields ,3ncl"ding three different fields for patient(s reason to visit ,9evising ph'sician fields incl"ding separate fields for National 5rovider 3dentifier and 7"alifications# first and last names ,Three "ni7"e fields for 0 code reporting , 01panding line 2: "nder ;<4:-44# providing space for identif'ing m"ltiple page claim forms and reporting of date the claim form &as created 0lements of UB-04 ;orm UB-04 forms incl"de the follo&ing components# &hich are an enhancement of UB-92*

5atient(s 9eason to =isit + 3n UB04# the reason for patient(s visit has a specific ;< and is "sed for capt"ring as man' as : reasons for visit codes for o"tpatient enco"nters !ccording to the man"al# ;<.0a-c is "sed for o"tpatient claims for reporting 3C4 9 Cm diagnosis codes that descri$e stated reason for see>ing care This might incl"de patient distress# poisoning# in)"r'# or a condition or reason s"ch as pregnanc' in la$or or follo&-"p 0lectronic 9emittance + UB04 claim forms also incl"de specifications for 09!# mentioning the re7"irements of s"$mitting and managing claims electronicall' 09! electronic remittance advice streamlines the claim reim$"rsement c'cle# improving prod"ctivit' $' allo&ing healthcare providers to >no& in advance &hich claims have $een paid and in &hat amo"nt 3t also helps in processing secondar' claims m"ch faster and minimi2ing the time to acco"nts receiva$les 5?! 3ndicator 3t is the data element for UB-04 and has $een made mandator' for inpatient pa'ment s'stems in hospitals 5?! indicator helps in identif'ing &hether a medical condition &as present d"ring an order for inpatient admission# incl"ding different conditions developing d"ring o"tpatient enco"nter s"ch as o$servation# emergenc' department visit# or o"tpatient s"rger' C"tting-edge UB04 soft&are helps in addressing a &ide range of $"siness needs that are c"rrentl' "nmet This incl"des indicator on instit"tional claims for different conditions that &ere @present on admissionA and integrating 3C4 /0 code sets 3t is important for medical $illing professionals to $e a&are of the necessar' changes that &ill dramaticall' affect claim s"$mission process in paper and electronic environments as a res"lt of UB04