The Community Care Network (CCN) is the Department of Veterans Affairs’ (VA) direct link with community providers to ensure eligible Veterans are provided with timely and high-quality care. CCN is a network of high-performing, credentialed community providers that partners with VA to provide health care to Veterans in their local community.

This billing guide is designed to assist with the completion of the UB-04 (CMS-1450) claim form. The UB-04 uniform billing form is the standard claim form that any institutional provider can use for the billing of medical and mental health claims. Although developed by the Centers for Medicare and Medicaid (CMS), the form has become the standard form used by all insurance carriers.

The National Uniform Claim Committee (NUCC) has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on April 1, 2020. The complete code set is available at: www.nucc.org/taxonomy. The PDF download version of the code set is also available on the website.

The UB92 form had been the standard medical insurance claim form used by health care organizations and hospitals to bill insurance and Medicaid payers. In 2007, the National Uniform Billing Committee (NUBC) https://www.nubc.org officially retired the form, approving a revised version of the UB92 form currently known as the UB04 form.