CLAIMS PROCESSING: Make Sure Your Software Is Ready To Handle These Changes

Why This Topic Matters

Organizations that submit institutional claims need to ensure their software, workflows, and form processing are aligned with the UB-04 transition timeline to avoid rejected claims and avoidable disruptions.

Article Sections

1. Update Your Software

   Discusses preparing billing systems for the form transition and coordinating with software vendors. The section also addresses general readiness for electronic and paper claim handling.

2. Start Using The UB-04 Early

   Covers the early availability of the new form, the importance of testing, and reporting issues during the transition period. It also notes the need to verify system and identifier alignment before the required deadline.

3. Learn These Critical Dates

   Summarizes the implementation timeline for the new form and the transition period when both versions are accepted. This section highlights the key dates referenced by CMS guidance.