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UB-04 claim form requirements All hospitals participating with Regence are required to submit UB-04 claims in electronic format except for Type of Bill XX7. Following are instructions and requirements.

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Keywords relevant to Ub04 Ms Word Form

  • HCPCS
  • insureds
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  • taxonomy
  • B3
  • administrable
  • NUBC
  • UB-04
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