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The difference between the CMS 1500 and UB-04 claim forms lies primarily in their usage context and design. The CMS 1500 is meant for billing professional services by individual providers, while the UB-04 is for institutional providers dealing with a variety of healthcare services. Different coding systems, specific data elements, and reporting requirements distinguish these forms as well. Familiarizing yourself with each form allows for smoother claim filing processes.
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