HI252-04
The health care institutions that used uses the two forms are inpatient, outpatient care, and ambulatory surgical centers. Here is a great example, An individual presents at the local ambulatory care center anticipating neck surgery. The patient has both Medicare part A and B. Part A used form UB-04 and Medicare part B used form for CMS-1500 for the physicians billing and after care.
The two form differ from each other by the UB-04 is used by hospital and outpatient services and also summited by third party payers. CMS-1500 is used for physician billing. The patient information, codes, and insurance information are shown as follows on the CMS- 1500 form the patient