Facility claim entry and printing made simpler.
The UB-04, also called the CMS-1450, is the standard institutional paper claim form used for facility charges. Our Windows software helps hospitals and other institutional providers enter, save, retrieve, and print UB-04 claim information in a straightforward form-based workflow.
The UB-04 is the commonly used name for the CMS-1450 Uniform Institutional Provider Bill. It is the standard paper form for institutional claims and includes facility, patient, payer, revenue-code, service, diagnosis, procedure, and charge information.
The form is used for institutional or facility charges when paper billing is allowed by the payer. It is associated with inpatient, outpatient, skilled nursing, hospice, home health, rehabilitation, and other institutional billing situations depending on payer rules.
Common users can include:
Enter patient, payer, facility, revenue-code, diagnosis, procedure, and charge information.
Review related UB-04 fields together before printing the claim.
Print entered data over compatible preprinted UB-04 forms.
Store claim files and reopen them for corrections, updates, or reprints.
UB-04 Form Software for $99.
The UB-04 is also known as the CMS-1450 Uniform Institutional Provider Bill.
Institutional providers such as hospitals and other facility-based providers use the UB-04 when the payer accepts or requires an institutional paper claim.
No. The UB-04/CMS-1450 is for institutional facility claims, while the CMS-1500 is the standard paper form for professional and other non-institutional claims.
Yes. The software is designed to save UB-04 claim information and retrieve it later for editing or reprinting.