UB Data Elements Relationships 2.0
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The UB-04, also known as the Form CMS-1450, is the uniform institutional provider hardcopy claim form suitable for billing multiple third-party payers. The information input on the Uniform Billing (UB) form results from information gathered during the scheduling or registration process. Additional fields on the form are filled out by data from the ChargeMaster, the Coding Department, and the Electronic Medical Record. By understanding where this information is located on the UB form, you can be knowledgeable about what items are required on various types of claims for different payers.

 

At the conclusion of this course you will be able to:
• Distinguish the relationships between various form locators.
• Understand the importance of how they interact with each other.

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