What does UB-04 refer to?

The UB-04 is indeed a uniform billing form specifically designed for institutional healthcare providers, such as hospitals and nursing facilities. It is used to submit claims for services rendered to patients to Medicare, Medicaid, and other third-party payers. The format standardizes the information that healthcare providers report to ensure that claims are processed correctly and efficiently.

This form includes critical data fields, such as patient demographics, facility identification, and details about the services provided. Its uniformity helps facilitate the claims process and enhances communication between providers and payers, ensuring that billing practices adhere to industry standards.

Understanding the context of UB-04 is vital for anyone involved in the healthcare revenue cycle, as accurate billing is essential for receiving reimbursement for services, thereby sustaining operational viability in healthcare settings.