CMS-1450 refers to what in relation to the UB-04 form?

• A. The form identifier for UB-04
• B. The line item code for revenue
• C. The insurance policy type
• D. The diagnosis code set

Answer: (A)

CMS-1450 is the form identifier for the UB-04 claim form. This official form number, assigned by the Centers for Medicare & Medicaid Services, identifies the specific institutional billing format used for hospital and other institutional claims. It’s what distinguishes the UB-04 from other forms and is the label you’ll see on the form and in electronic claim transmissions. It is not a line item code for revenue, a type of insurance policy, or a set of diagnosis codes; those elements are separate data elements used within the UB-04.