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Author: American Hospital Association

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Table of Contents

Table of Contents

Official UB-04 Data Specifications Manual 2021

Author(s): American Hospital Association

This edition of the UB-04 Manual expires June 30, 2021. If you have not already done so, plese print the entire 2021 Manual for archival purposes, as you will not have access after June 30, 2021.

The Official UB-04 Data Specifications Manual 2021, copyrighted by the American Hospital Association, is the only official source of UB-04 billing information adopted by the National Uniform Billing Committee (NUBC). No other publication—governmental or private/commercial—can be considered authoritative. It contains updated specifications for the data elements and codes included on the UB-04 claim form, and used in the electronic HIPAA Institutional 837 Health Care Claim transaction standard.

Table of Contents pages: 1 2 3

Table of Contents pages: 1 2 3

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