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BCBSNC to Adopt the New UB04 Claim Form

The National Uniform Billing Committee (NUBC) has released a new version of the Institutional claim form UB- 04 that accommodates the reporting of the National Provider Identifier (NPI). BCBSNC will adopt the use of this new claim form for institutional billing and will follow the implementation dates proposed by the NUBC. The planned timeline is as follows:

  • March 1, 2007: BCBSNC will accept the new UB-04 Claim Form. (Note: Claims submitted on the UB-04 claim form prior to this date will be rejected and returned)
  • March 1, 2007 – May 22, 2007: Providers can use either the current UB-92 or the revised UB-04 claim form for institutional claim submission.
    • Blue e direct data entry claims will allow entry by either the new UB-04 format or the current format as of March 1, 2007.
  • May 23, 2007: The current version of the UB-92 Institutional Claim Form is discontinued for paper and Direct Data Entry submission via Blue e; only the UB-04 form is to be used. All rebilling of institutional claims should use the UB-04 form from this date forward, even though earlier submissions may have been on the current form.

Please review the UB04 claim filing instructions and the UB-04 Form for information on how the new claim form should be completed for BCBSNC claim submission. For more information on the new UB-04 claim form visit