Which statement best describes the UB-04 form's use?

Which statement best describes the UB-04 form's use?

• A. UB-04 is used for facility claims
• B. UB-04 is used for professional services claims
• C. CMS-1500 is used for facility claims
• D. CMS-1500 is used for professional services

Answer: (A)

The UB-04 is used for facility claims. This form, also known as CMS-1450, is the standard for institutional providers such as hospitals, skilled nursing facilities, and other facilities to bill payers for the care delivered within the facility (room charges, facility services, supplies, and related costs). In contrast, professional services claims—billed by individual clinicians like physicians—use the CMS-1500 form. So this statement correctly identifies the UB-04’s role in billing for facility-based care.

The UB-04 is used for facility claims. This form, also known as CMS-1450, is the standard for institutional providers such as hospitals, skilled nursing facilities, and other facilities to bill payers for the care delivered within the facility (room charges, facility services, supplies, and related costs). In contrast, professional services claims—billed by individual clinicians like physicians—use the CMS-1500 form. So this statement correctly identifies the UB-04’s role in billing for facility-based care.