Form UB-04

Form UB-04

by UiPath

StarStarStarStarStarStarStarStarStarStar

0

Extraction Model

Runs

<100

Summary

Summary

The UB-04 (CMS-1450) is a standardized claim form for healthcare providers to bill Medicare, Medicaid, and private insurance. This Skill extracts 26 regular and 6 column fields from the UB-04.

Overview

Overview

The UB-04, or CMS-1450, is a standardized claim form used by healthcare providers to bill Medicare, Medicaid, and private insurance for institutional services. It includes essential details about the patient, services provided, and costs incurred, streamlining the reimbursement process for healthcare facilities.

This Document Understanding Skill is extracting 26 regular fields and 6 column fields containing key data points of the UB04.

Features

Features

The skill is trained to automatically detect data such as:

  • Billing Name, Billing Address, Billing Tax ID Number;
  • Patient Name, Patient Address, Patient DoB;
  • Admission Date, Admission Hour, Type of Visit;
  • Value Code, Value Amount.

Additional Information

Additional Information

Dependencies

Requires a valid AI Units license

Publisher

UiPath

Visit publisher's page

Trusted Source

License & Privacy

License Agreement

Privacy Terms

Technical

Updated

June 4, 2024

Works with

Document Understanding: 23.10+

Application

UiPath Document Understanding

Support

Link: https://www.uipath.com/company/contact-us/contact-technical-support

UiPath Standard Support - see your Service Agreement

Resources

Similar Listings