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The Official UB-04 Data Specifications Manual 2015 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 Manual is a PDF eBook.
  • You will receive a confirmation email within one hour of your online order from aha-orders@pbd.com with "eSource Product Delivery Notification from American Hospital Association" in the subject line.  Make sure to check SPAM folder if email hasn't arrived.
  • Your confirmation email will include a link to access the eBook and a link to the free Lizard Safeguard Secure PDF Viewer.
  • Locklizard must be installed on your computer to access the Manual.
  • The online acceptance of a User License Agreement is required prior to completing this transaction.
  • The 2015 Manual eBook will be available for your use through 6/30/2015.
  • UB-04 Manual content cannot be shared, copied, modified or transformed into derivative works.  One copy may be printed for archival purposes.
  • For more information visit the Frequently Asked Questions at www.nubc.org
 
To order by Fax/Phone
1.  Select the appropriate license level for your organization
2.  Complete the Order Form.  We must have an email address on the Order Form.  This email
     address is where the eBook link will be sent and must be the user of the eBook
3.  Complete User License Agreement.  Acceptance is required to complete the order.
 
Fax the competed Order Form and signed User License Agreement to 866-516-5817 or call 800-242-2626.