The Form CMS-1450, also known as the UB-04, is the standard claim form to bill Medicare Administrative Contractors (MACs) when a paper claim is allowed.
The Office of Management and Budget and the National Uniform Billing Committee have approved the UB-04 claim form, also known as the CMS-1450 form.
The ADA™ Dental Claim Form provides a common format for reporting dental services to a patient's dental benefit plan. ADA™ policy promotes use and acceptance of the most current version of the ADA™ Dental Claim Form by dentists and payers.
HEALTH - DENTAL - HOSPITAL
Computer software for use in collecting and processing data for reimbursement of insurance claims.
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CMS-1500 Health Insurance Claim
UB04 (CMS-1450) Hospital Claim
ADA™ Dental Claim
The Form CMS-1500 is the standard paper claim form to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed. In addition to billing Medicare, the 837P and Form CMS-1500 may be suitable for billing various government and some private insurers. The 1500 Health Insurance Claim Form (1500 Claim Form) answers the needs of many health care payers. It is the basic paper claim form prescribed by many payers for claims submitted by physicians, other providers, and suppliers, and in some cases, for ambulance services.