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Sample CMS 1450 UB 04 Form Kyprolis

Sample CMS 1450 UB 04 Form Kyprolis

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[Music] welcome to module 7 the inpatient claims process ub4 form notice that i pronounced it ub4 this is a zero it's ub04 we don't need to pronounce the zero so in medical billing we use a lot of acronyms we call this the ub 4 form and this is what the ub4 form looks like what i would like to do is to go over how the ub4 form was created and then i want to go over the most important field locators that requires a little bit more attention than the other fields what i mean by that is it requires a little bit more training even though this form is different than the cms 1500 form that you learned about you will notice it requires some of the same basic information like the facility name the patient name the date of birth so some of these things does not require training is self-explanatory what we will do first is i will point out the most important fields that require more training you will follow along with me and you will fill in some practice information on your blank ub4 form that

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