Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Correct Provider Billing of Line Item Rendering Physician on the Paper UB-04 Claims Form

This MLN Matters® Special Edition Article is intended for providers who submit claims on the paper UB-04 claims form to Fiscal Intermediaries (FIs) and A/B Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.