Description Release Date: July 5, 2017 The official UB-04 Data Specifications Manual 2018 is the source of UB-04 billing information adopted by the National Uniform Billing Committee (NUBC). This Manual, available by annual subscription license, contains the updated specifications for the data elements (codes) included on the UB-04 (uniform bill) claim form.
Delivery:. The online acceptance of a User License Agreement is required prior to completing the order transaction. The Manual is a PDF eBook using the browser-based Lizard Safeguard Secure PDF Viewer for viewing.
There is no software required to view the eBook. You will receive a confirmation email within one hour of your online order from with 'eContent Product Delivery Notification from American Hospital Association' in the subject line. You will also receive an email from with the subject line “Important Information Regarding Your Recent AHA Purchase.” The email from contains access instructions and your individual log-in credentials. Make sure to check your SPAM folder if email hasn't arrived. If you do not receive the email within one hour of your online order, please email. All subscribers are on the same subscription cycle of July 5 to June 30; there are no partial or pro-rata subscriptions. The 2018 Manual eBook will be available for your use through June 30, 2018, the end of the licensing period.
At that time, the eBook will expire and you will need to purchase a new license for the 2019 Edition of the Manual. UB-04 Manual content cannot be shared, copied, modified or transformed into derivative works. One copy may be printed for archival purposes. No refunds will be given for this online product due to the type of content provided. For more information visit the Frequently Asked Questions page. To order by Fax/Phone. Select the appropriate license for your organization.
Complete the Order Form. We must have an email address on the Order Form. This email address is where the e-book link will be sent and must be the user of the e-book. Complete User License Agreement. Acceptance of this License Agreement is required to complete the order. Fax the completed Order Form and signed User License Agreement to: 866-516-5817 or call 800-242-2626.
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