Overview
The standard, uniform bill (UB) for institutional healthcare providers that is used throughout the United States is known as the UB-92 and was adopted by CMS as the CMS 1450. At it’s February 2006 meeting following a four-year study, the National Uniform Billing Committee (NUBC) adopted the UB-04 to replace the UB-92. Hospitals, nursing homes, hospice, home health agencies, and other institutional providers use the UB.

The primary purpose of the UB-04 is to align the paper form to the ANSI 837i electronic data standards, both the current 004010/004010A1 and the future 005010. In addition, it allows for the use of the National Provider Identifier (NPI) mandated May 22, 2007. The UB-04 also freed up “real estate” on the UB-92 paper form, providing space for alternative reporting data.

The UB-04 paper format may be used March 1, 2007 and is mandated effective May 23, 2007. The UB-92 paper claim will not be accepted, even as an adjustment claim, after May 22, 2007.

Order your copy of the UB-04 Manual 
UB-04 Form 
UB-04 to UB-92 Crosswalk 
Present on Admission Guidelines 

Additional Resources:
National Uniform Billing Committee (NUBC) http://www.nubc.org 
NUBC UB-04 Information http://www.nubc.org/INFORMATION_ON_UB-04.pdf 

If you have any questions on NHIS, contact Kevin Conway, Vice President, Health Information at (402) 742-8150 or kconway@nhanet.org.