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Your Official Source for News and Information on the NUBC. National Uniform Billing Committee (NUBC). Our goal is to achieve administrative simplification as outlined …
Uniform Bill Form (UB-04 ), page 1 SAMPLE—Do not use. – 135 Section 10 Provider tool S Uniform Bill Form (UB-04) Instructions The following listing of UB-04 form locators is a summary of the form locator (FL) information.
A Guide for Completing the UB-04 Form The Uniform Bill (UB-04) is the standardized billing form for institutional services. Blue Cross and Blue
UB-04/CMS-1450 Reference Material Type of Bill Codes (Field 4) This is a three-digit code; each digit is defined below. 1st Digit – Type of Facility Code
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Superior HealthPlan CMS 1450 (UB-04) Type of Bill (TOB) – CMS 1450 (UB-04) Type of Bill (TOB) Posted 30 April 2013 by dchoth & filed under Newsroom, Provider News. Providers submitting services on CMS-1450 (UB-04) claim …
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