In the last section, we said submission of claims to the insurance company in a specified format. Let us see some important format as follows
1. HCFA(Health Care Financing Administration) 1500 form or CMS(Centers for Medicare and Medicaid Services) form.
It is a standard form that non-institutional providers use such as your family doctor or specialist used send claims. Mostly individual
Physician charges are billed on the CMS 1500 form
2. UB-04( uniform institutional billing claim form) Form (formerly UB-92 OR CMS-1450)
This form is used to submit claims for institutional providers such as hospitals. Some insurance accepts CMS 1500 form to submit hospital billing. You should always check the insurance company which form they prefer to bill hospital charges.
You can see sample CMS 1500 and UB04 Form here
