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HomeFree Billing Tools › Claim Form Selector

Free Billing Tool

CMS-1500 vs UB-04 Claim Form Selector

Answer two questions to identify the likely standard paper form or electronic transaction for a professional versus institutional claim.

Reviewed September 2026 · Educational reference — verify payer and program requirements.

This is a routing aid, not a payer determination. Workers’ compensation, dental, pharmacy, specialized programs and payer-specific exceptions may use other formats or rules.