CMS-1500
CMS-1500 is generally used for professional and other non-institutional paper claims. Examples can include physician and other practitioner billing, depending on payer/program rules.
CMS-1500 software →Free claim-form helper
CMS-1500 vs UB-04 Decision Helper
Answer three short questions to see whether a billing workflow more closely resembles a CMS-1500 professional claim or UB-04/CMS-1450 institutional claim.
FREE
No download required
Use this tool in your browser. No patient information is sent to MedClaimSoftware.
Answer the three questions above.
The helper will explain whether the workflow more closely resembles a CMS-1500 professional claim or a UB-04/CMS-1450 institutional claim.
UB-04 / CMS-1450
UB-04/CMS-1450 is generally used for institutional or facility paper claims, with fields designed for facility billing information.
UB-04 software →One $99 Windows program includes both forms
If your office prepares both professional and institutional paper claims, the current CMS-1500 + UB-04 program includes both workflows for $99/year and installation on up to 2 Windows computers.
This helper is a general workflow aid, not a payer determination. The payer, program, provider type, contract, and claim circumstances determine the required form or electronic transaction.