Which form is the standard claim form used by physician's offices to bill for services?

Which form is the standard claim form used by physician's offices to bill for services?

• A. CMS-1500
• B. UB-04
• C. ICD-10-PCS
• D. Form Locator

Answer: (A)

The standard claim form used by physician offices to bill for professional services is the CMS-1500. This form is designed for outpatient and office encounters and is used to submit professional claims to Medicare, Medicaid, and most private payers. It supports entering patient and provider information, ICD-10-CM diagnosis codes, and CPT/HCPCS procedure codes, and it has an electronic counterpart in the 837P format. UB-04 is used for institutional claims from hospitals and similar facilities, not for physician offices. ICD-10-PCS is the inpatient procedure coding system used on hospital bills, not a claim form. Form Locator refers to the labeled fields on the CMS-1500, which organize data on the form rather than being a separate form itself.

The standard claim form used by physician offices to bill for professional services is the CMS-1500. This form is designed for outpatient and office encounters and is used to submit professional claims to Medicare, Medicaid, and most private payers. It supports entering patient and provider information, ICD-10-CM diagnosis codes, and CPT/HCPCS procedure codes, and it has an electronic counterpart in the 837P format.

UB-04 is used for institutional claims from hospitals and similar facilities, not for physician offices. ICD-10-PCS is the inpatient procedure coding system used on hospital bills, not a claim form. Form Locator refers to the labeled fields on the CMS-1500, which organize data on the form rather than being a separate form itself.