Which statement about UB-04 is true?

Which statement about UB-04 is true?

• A. It is used to bill professional services.
• B. It is used for dental clinics only.
• C. It is used to bill hospital outpatient services only.
• D. It is used to bill institutional providers (hospitals) for inpatient and outpatient services.

Answer: (D)

UB-04 is the standard claim form used by institutional providers, such as hospitals, to bill for facility-based services. It covers both inpatient stays and hospital outpatient services, which is why it’s the form hospitals use to submit inpatient and outpatient claims. This form is designed for facility claims, while professional services are billed on the CMS-1500 (or its electronic equivalent), and dental clinics typically use different processes. So the statement that UB-04 is used to bill institutional providers (hospitals) for inpatient and outpatient services is the correct description.

UB-04 is the standard claim form used by institutional providers, such as hospitals, to bill for facility-based services. It covers both inpatient stays and hospital outpatient services, which is why it’s the form hospitals use to submit inpatient and outpatient claims. This form is designed for facility claims, while professional services are billed on the CMS-1500 (or its electronic equivalent), and dental clinics typically use different processes. So the statement that UB-04 is used to bill institutional providers (hospitals) for inpatient and outpatient services is the correct description.