Can a UB-04 claim be submitted to report ambulance services?

Can a UB-04 claim be submitted to report ambulance services?

• A. True
• B. False
• C. Only if the service is emergency
• D. Only for non-emergency services

Answer: (B)

The correct response indicates that a UB-04 claim cannot be submitted to report ambulance services. The UB-04 form is primarily designed for billing institutional services, such as those provided by hospitals and skilled nursing facilities, rather than for ambulance services. Ambulance claims are typically submitted using a different form, specifically the CMS-1500 form, which is intended for outpatient services provided by individual practitioners or suppliers. This distinction underscores the importance of using the appropriate billing format based on the type of service provided. The reasoning behind the other options can help clarify why the UB-04 is not applicable in this situation. It's important to note that regardless of whether the ambulance service is emergency or non-emergency, the correct billing form remains the CMS-1500, highlighting that the nature of the service does not affect the requirement for the correct form submission.

The correct response indicates that a UB-04 claim cannot be submitted to report ambulance services. The UB-04 form is primarily designed for billing institutional services, such as those provided by hospitals and skilled nursing facilities, rather than for ambulance services.

Ambulance claims are typically submitted using a different form, specifically the CMS-1500 form, which is intended for outpatient services provided by individual practitioners or suppliers. This distinction underscores the importance of using the appropriate billing format based on the type of service provided.

The reasoning behind the other options can help clarify why the UB-04 is not applicable in this situation. It's important to note that regardless of whether the ambulance service is emergency or non-emergency, the correct billing form remains the CMS-1500, highlighting that the nature of the service does not affect the requirement for the correct form submission.