Where is a UB04 or HIPAA847I claim typically used?

A UB04 claim form, also known as the CMS-1450 form, is primarily utilized for billing services provided in hospital settings. It captures a wide range of information necessary for hospitals to process claims for inpatient and outpatient services. This includes details about patient admissions, services rendered, and the corresponding charges, which are essential for reimbursement from Medicare, Medicaid, and private insurers.

In contrast, other settings such as clinics, physician's offices, and nursing homes typically utilize different billing forms to capture their specific service details. For instance, physician's offices generally use the CMS-1500 form for outpatient services, while nursing homes might utilize a combination of the UB04 and specific forms tailored for long-term care. Therefore, the use of the UB04 claim form is distinctly aligned with hospital services, making the correct context for this question clear.