The UB-04 form, also known as the CMS-1450, is a standard claim form used by hospitals, skilled nursing facilities, and other institutional providers to bill Medicare, Medicaid, and other third-party payers for services provided to patients. It contains information about the patient, the services rendered, diagnoses, and charges. The Centers for Medicare & Medicaid Services (CMS) maintains and updates the specifications for the UB-04 form.
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