Official UB-04 Specifications Manual, 2019 ed. 11-20 Users

Product Code: PM2019.20
Author: American Hospital Association

Member: $1,990.00
Non-Member: $1,990.00



Release Date July 1, 2018

The official UB-04 Data Specifications Manual 2019 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.

  • 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 Tizra platform 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 another email from with the subject line “Important Information Regarding Your Recent AHA Purchase.” The email contains access instructions. 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
    • If you placed your order through the AHA online store, you will receive another email from with a custom logon URL.  To access the UB-04 Manual and NUBC minute archive in the future, please log in at using your AHA online store user name and password.
    • If you would prefer to place your order via fax, mail or phone and you do NOT currently have AHA online store credential, please note that you will e required to create an account.
  • All subscribers are on the same subscription cycle of July 1 to June 30; there are no partial or pro-rata subscriptions. The 2019 Manual eBook will be available for your use through June 30, 2019, the end of the licensing period. At that time, the eBook will expire and you will need to purchase a new license for the 2020 Edition of the Manual.
  • UB-04 Manual content cannot be shared, copied, modified or transformed into derivative works. You can print 20 pages at a time for up to 15
    times during the licensing period.
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  • This product contains only a SAMPLE CMS form for your reference.

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  4. Fax the completed Order Form and signed User License Agreement to: 866-516-5817 or call 800-242-2626.