What is the difference between UB92 and UB04 Forms?

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.

As of March 1, 2007 health plans, clearinghouses and providers were to be prepared to switch to the new form. Medicare and Medicaid no longer accept the UB92 form. Software companies that provide electronic billing have phased out the use of the UB92, which means you can’t submit it electronically for faster payment.

So what’s the difference between the UB92 and the UB40 forms? A number of things were added to the UB92 form when it underwent the revision to become UB04. The main change is the addition of the field in which to input a National Provider Identifier (NPI). Additional fields were also added like more diagnosis code fields. Many of these same form changes occurred when the HCFA form was upgraded to become of the CMS 1500 claim form.

This is not to be confused with HCFA-1500 form as this form is different from the UB04 form. For more information about the differences between HCFA-1500 and UB-04 form, click here.

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