What is the primary purpose of the UB-04 form?

The primary purpose of the UB-04 form is to bill for hospital facilities and services provided to patients. This standardized claim form is specifically designed for use by hospitals and other institutional providers to submit claims to Medicaid, Medicare, and other health insurance payers. The UB-04 captures detailed information about the services and accommodations provided during a patient's stay or treatment in a facility, including room and board, surgical procedures, and other related services.

This form is essential for ensuring that healthcare providers receive appropriate reimbursement for the full spectrum of care they offer. By including information on the patient's status, the types of services rendered, and relevant coding for diagnoses and procedures, the UB-04 facilitates an accurate billing process, which is crucial in the healthcare reimbursement landscape.