4. State the difference between the CMS-1500 and UB-04 (CMS-1450)?
The CMS-1500 form is the health insurance claim form used for submitting claims for health care service providers. It is a standard form that non-institutional providers use such as your family doctor or specialist. [ Medicare and Medicaid claims (paper) must be submitted on the official CMS-1500 form with the red ink.
The CMS-1450 (UB-04) form is the claim form to submit claims for
institutional providers such as hospitals. ]
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