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Form UB-92 (HCFA-1450) Uniform Bill
What Is Form UB-92 (HCFA-1450)?
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is form UB-92?
A: Form UB-92 is a billing form used for submitting healthcare claims for facility services.
Q: What is the alternate name for form UB-92?
A: Form UB-92 is also known as HCFA-1450.
Q: Who uses form UB-92?
A: Form UB-92 is used by hospitals and other healthcare facilities to bill for services.
Q: What information is included in form UB-92?
A: Form UB-92 includes information such as patient demographics, diagnosis codes, procedure codes, and billing details.
Q: Is form UB-92 still in use?
A: No, form UB-92 has been replaced by the UB-04 form in the United States.
Form Details:
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form UB-92 (HCFA-1450) by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.
Download Form UB-92 (HCFA-1450) Uniform Bill
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