Holiday Closures 2021 - UB04 Software Schedule

Here is a schedule of our holiday closures for 2020. Happy Holidays!

Holidays Closures
Jan. 1 - Friday - New Year's Day Closed
Jan. 18 - Monday - Martin Luthur King, Jr. Day Closed
Feb. 15 - Monday - President's Day Closed
May 31  - Monday - Memorial Day Closed
Jul. 5 - Monday - Independence Day Observed Closed
Sept. 6 - Monday - Labor Day Closed
Oct. 11  - Monday - Columbus/Indigenous Peoples' Day Closed
Nov. 11 - Thursday - Veteran's Day Closed
Nov. 25 - Thursday - Thanksgiving Day Closed
Dec. 24 - Friday - Christmas Eve Closed
Dec. 25 - Saturday - Christmas Day Closed
Dec. 31 - Friday - New Year's Eve Closed
Jan. 1, 2022 - Saturday - New Year's Day Closed

What is the difference between HCFA-1500 (CMS 1500) and UB-04 (CMS 1450)?

Although these forms look similar, they CANNOT be used interchangeably.

The HCFA 1500 claim form, also known as CMS-1500, enables medical physicians to submit health insurance claims for reimbursement from various government insurance plans including Medicare, Medicaid and Tricare. When a physician has a private practice but performs services at an institutional facility such as a hospital or outpatient facility, the CMS-1500 form would be used to bill for their services.

The UB-04 (CMS-1450) form is the claim form for institutional facilities such as hospitals or outpatient facilities. This would include things like surgery, radiology, laboratory, or other facility services.

The HCFA-1500 form (CMS-1500) is used to submit charges covered under Medicare Part B. The UB-04 (CMS-1450) to submit charges under Medicare Part A.

New NUCC 1500 Health Insurance Claim Form Reference Instruction Manual

V.02/12 - Updated July 2020

BACKGROUND INFORMATION

The 1500 Health Insurance Claim Form (1500 Claim Form) answers the needs of many health care payers. It is the basic paper claim form prescribed by many payers for claims submitted by physicians, other providers, and suppliers, and in some cases, for ambulance services.

Read more: New NUCC 1500 Health Insurance Claim Form Reference Instruction Manual

New NPI Verification Process through PECOS

There has been an important update from the Centers for Medicare and Medicaid Services (CMS).

CMS has notified ABILITY that as of April 1, 2019 mainframe eligibility applications hosted in Direct Data Entry/Fiscal Intermediary Standard System (DDE/FISS) and Common Working File (CWF) will be undergoing a process change. Users attempting to verify Part A Medicare eligibility benefits will be required to use a National Provider Identifier (NPI) that is registered in the Medicare Provider Enrollment and Chain/Ownership System (PECOS) database. As part of the eligibility process, these eligibility applications will now verify that the NPI used on the inquiry is present in the Medicare PECOS database.

Read more: New NPI Verification Process through PECOS

UB-04 Software, Inc.

UB-04 Software, Inc. specializes in medical billing form filling software and electronic claims processing. We strive to deliver high-quality, affordable and reliable form filler software products that will increase the efficiency of your claim filing and ultimately your business.

Tel. 1-866-829-2763 (8am-4pm EST)
Fax. 1-866-795-4975

Contact Us
UB-04 Software

© 2001 - 2021 UB-04 Software, Inc.   |   Privacy Policy   |   Terms of Use    |   EULA    |   Sitemap

Secure Payments By  PayPal