When do you use an UB-04 form in healthcare billing?

The UB-04 form is used in healthcare billing primarily for institutional providers, such as hospitals and skilled nursing facilities, to submit claims for services rendered to patients. It captures essential information about the patient's stay, including diagnosis, procedures performed, and the costs associated with those services. The form is typically utilized for billing Medicare, Medicaid, and other third-party payers for inpatient and outpatient services. It ensures that institutions receive reimbursement for the healthcare services they provide.