What is Institutional Claim?

An institutional claim is a type of healthcare billing submitted by institutions, such as hospitals or skilled nursing facilities, for services provided to patients. It typically uses specific forms, like the UB-04, to detail the services rendered, patient information, and associated costs. These claims are essential for healthcare providers to receive reimbursement from insurance companies or government programs for the care they provide. Accurate institutional claims are vital for ensuring timely payments and maintaining financial health within healthcare organizations.