Full color paper proofs of the UB-04 form are available from:

• New Medical Forms
  Sales & Customer Support
  Email: newmedicalforms@pacbell.net
  Toll Free Number 1-877-256-0027
  Online: www.newmedicalforms.com 

The Official UB-04 Data Specifications manual is available from the National Uniform Billing Committee (NUBC).  Cost is $150/year for a printable electronic manual or an electronic version with updates. Click here to download the request form and then send to address below:

• American Hospital Association, National Uniform Billing Committee, P.O. Box 92247, Chicago, IL  60675-2247

• Click Here: http://www.nubc.org/become.html
  
  
• Click on the Purchase Now button to order your manual.

Chapter 25 UB-04 Instructions

• Click Here: http://www.cms.hhs.gov/manuals/downloads/clm104c25.pdf

UB-92 Handbook for Hospital Billing and/or UB-04 Handbook for Hospital Billing:

Go to: www.aha.org Go to Red Banner, half way down the page and look for SERVICES. Click on AHA ONLINE STORE. Go to SEARCH box & type BIRKENSHAW or BILLING

Go to the National Uniform Claim Committee website : www.nucc.org

Go to the Washington Publishing Company website: www.wpc-edi.com