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All institutional providers may use the UB-04 form to bill claims, such as hospitals, specialists, mental health centers, hospices, rehabs, organ procurement organizations and therapy services.

The UB-04 claim form is used to submit claims for outpatient services by institutional facilities (for example, outpatient departments, Rural Health Clinics and chronic dialysis centers).

On an institutional claim, a 4-digit code in box 4 identifies the type of facility, type of care, and the frequency code is generated based on parameters set under the office settings and attached to a patient's claim.

All institutional providers may use the UB-04 form to bill claims, such as hospitals, specialists, mental health centers, hospices, rehabs, organ procurement organizations and therapy services.

The CMS-1450 form (aka UB-04 at present) can be used by an institutional provider to bill a Medicare fiscal intermediary (FI) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of claims.

A number of things were added to the UB92 form when it underwent the revision to become UB04. The main change is the addition of the field in which to input a National Provider Identifier (NPI). Additional fields were also added like more diagnosis code fields.

The UB-04 is a claim form that is utilized for Hospital Services and select residential services.

Since then, the UB-04 has been the standardized form used by hospitals, ambulatory surgery centers, nursing facilities, and other medical and mental health institutions. These claims forms can be submitted both electronically and on paper.