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What is the purpose/ difference of a UB92(ub04) and a HCFA 1500?

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Dealing with medical insurance claims and filing

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  1. UB92 is for facility claims

    HCFA is for proffesional claims.


  2. UB 92 is a detailed billing statement that itemizes each service that was rendered, each tylenol provided, etc. HCFA 1500 is only coded and priced, not detailed.

  3. A UB is an institutional claim filing form.  Used by hospitals, skilled nursing facilities, and other "facility" providers.

    A HCFA 1500 is a professional claim form.  Used by doctors and other professional providers...physical therapists, psychologists, etc.
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