Monday, December 24, 2007

UB04 Medical Claim Form Billing

We recently received this email.

My daughter recently underwent detox in a clinical setting. The insurance company, United Behavorial Health is demanding that the claim be submitted on a UB92. The clinic is unfamiliar with these forms and only uses the 1500. They billed the services as H0008 and H0009 - All inclusive room and board plus ancillary. I found the Revenue Code of 0100 to be the 'companion' to those.
The clinic claims that only hospitals can use the UB92. How can I help them to understand that I cannot recover my $15,000 unless they use this form? Also, is this form extremely difficult to fill out. I'm sure this will be their next issue. They already have their money and now I would like to recover mine.

We gave this lady some suggestions for recovering her money, but we have received many questions lately regarding the use of the UB92 or actually the replacement UB04 form. The UB92 forms are obsolete and have been replaced with the UB04 form which allows for the NPI numbers.

It seems we have been receiving many questions on the use of the UB04 forms. Many clinics are billing only on CMS 1500 forms and getting their claims denied. Because of all these questions, we have added a new page to our website on Clinic Billing and we've published our latest ebook "UB04 Forms - How To Complete A UB04 Form Completely and Correctly - Line By Line, Box By Box"

Merry Christmas

We would like to express our best wishes for a happy holiday season to all who visit our blog.
Alice & Michele

Question About Locum Tenen

We recently were asked the question "How do you complete the HCFA 1500 form when using a Locum Tenen?" on our Ask the Biller page.

Michele's answer was "You should be using the locum tenen’s individual NPI & legacy numbers in box 24 J, and their name in box 31. Then the group name address and GROUP npi in box 32 & 33."

There still seem to be many questions of the use of NPI numbers. For more free information on the use of NPI numbers, visit our NPI page.

Thursday, December 13, 2007

Electronic Reports Notebook

If you are sending your medical insurance claims electronically, be sure to read Michele's Blog post on keeping track of these batches of electronic claims in a notebook. You can read about her suggestions at Michele's Blog.