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Kareo Help Center

Billing CMS 1500 and UB 04 On Same Encounter

If your practice bills for both CMS 1500 and UB 04 claims, there may be some instances where you need to submit both claim formats on one encounter. Kareo PM has a unique feature called the "hybrid encounter" that enables you to easily enter information one time (avoiding double-entry) on an encounter that necessitates both claim formats. The "hybrid encounter" becomes applicable under the following conditions:

  1. Your practice bills both CMS-1500 and UB-04 claims. See section Encounter Options.
  2. The patient on the encounter has both primary and secondary insurance.
  3. The primary and secondary insurances each require a different claim format.

To complete information on the "hybrid encounter" see both sections New Encounter CMS 1500 and New Encounter UB 04.

 

New Encounter - Billing 2 Different Forms.jpg

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