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Institutional Billing Guidelines

The National Uniform Billing Committee* (NUBC) was developed to maintain a single billing form and standard data sets to be used nationwide by institutional, private and public providers and payers for handling health care claims. The below table details all required elements for submitting standardized and non-standardized claims.

Download Institutional UB-04 Billing Guidance

Professional Billing Guidelines

The National Uniform Claims Committee* (NUCC) was developed to promote the development of national standards for the professional claims process. Using NUCC guidance, the below table details all required elements for submitting standardized and non-standardized professional claims.

Download Professional CMS-1500 Billing Guidance