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Description

The official UB-04 Data Specifications Manual 2016 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 specification for the data elements (codes) included on the UB-04 (uniform bill) claim form. 
 
DELIVERY
 
  • The Manual is a PDF eBook fomat using the Lizard Secure PDF Web Viewer for viewing.
  • You will receive a confirmation email within one hour of your online order from aha-orders@pbd.com with "Important license information for your most recent UB-04 purchase" in the subject line. Make sure to check your SPAM folder if email hasn't arrived. This email will include important instructions for the PDF Web Viewer.
  • You will receive another email, "Important Information Regarding Your Recent AHA Purchase", to access the eBook via the Secure PDF Web Viewer.  This email will include the log-on URL, username and password to access the eBook.  BE SURE TO SAVE THIS EMAIL FOR FUTURE REFEERENCE.
  • The online acceptance of a User License Agreement is required prior to completing the order transaction.
  • All subscribers are on the same subscription cycle of July 1 to June 30;  there are no partial or pro-rata subscriptions.  The 2016 Manual eBook will be available for your use through June 30, 2016, the end of the licensing period.  At that time, the eBook will expire and you will need to purchase a new license for the 2017 Manual.
  • UB-04 Manual content cannot be shared, copied, mofified or tranformed into derivative works.  
  • For more information visit the Frequently Asked Questions at www.nubc.org
 
TO ORDER BY PHONE, FAX OR MAIL
  •  Select the appropriate license (number of users) for your organization.
  • Complete the order form.  We must have an email address on teh Order Form.  This email address is where the eBook link will be sent and must be the user of the eBook.  Single User UB-04 Manual cannot be forwarded to other users.
  • Print, Complete and Fax the signed User License Agreement along with your order to: 866-516-5817 or call 800-242-2626 to place an order.   Acceptance of this License Agreement is required to fulfill all UB-04 orders placed by mail, fax or email.  Sorry, orders using credit cards as payments may not be emailed.
  • If sending a check, send the signed User License agreement, check and Order Form to:
AHA Services, Inc
PO Box 933283
Atlanta GA   31193-3283