What is the standard claim form used to submit provider services to Medicare Part B?

The CMS-1500 form is the standard claim form utilized for submitting provider services to Medicare Part B. This form is specifically designed for individual practitioners, such as physicians and outpatient services, to report medical services and procedures provided to beneficiaries. It includes fields for patient and provider information, diagnosis codes, and billed services, which allows for efficient processing and payment of claims.

The UB-04 form is primarily used for institutional providers, like hospitals, to bill for inpatient and outpatient services under Medicare and other insurance plans. In contrast, the CMS-1450, which is similar to the UB-04, is another name for the same institutional claim form.

The CMS-837 form is used for electronic claims submissions rather than the paper claim format that the CMS-1500 provides. Knowing the distinctions between these forms is crucial for ensuring that claims are submitted properly and processed without delays, particularly for outpatient services covered by Medicare Part B.