The standard claim from used by hospitals to request reimbursement for inpatient and outpatient procedures performed or services provided is called the

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The UB-04 (Uniform Billing 04) is the standard claim form used by hospitals to request reimbursement for inpatient and outpatient procedures performed or services provided. The CMS-1500 is used for physician and professional services billing, the CMS-1491 and CMS-1600 are not standard claim forms used for reimbursement requests.

The Standard Claim from Used by Hospitals to Request Reimbursement