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Search results with tag "Ub 04 claim form"
General Information on the UB-04 Claim Form & Claim ...
azahcccs.govThe UB-04 claim form is used to bill for all hospital inpatient, outpatient, and emergency room services. Dialysis clinics, nursing homes, free-standing birthing centers, residential treatment centers, and hospice services also are billed on the UB-04 claim form. Claims for