Which form should hospitals use when filing insurance claims?

The UB-92, also known as the CMS 1450 form, is the correct choice for hospitals when filing insurance claims because it is specifically designed for institutional claims. This form is used to submit healthcare claims for services provided by hospitals and other facility-based providers, capturing essential information about the patient's stay, services rendered, and the associated costs.

Hospitals deal with a range of complex services and items, and the UB-92/CMS 1450 form includes fields that account for various charges, facility types, and details necessary for processing claims through Medicare and other insurance payers.

Other forms, such as the CMS 1500, are utilized primarily for outpatient claims and services provided by individual healthcare providers rather than institutions. The EDI form refers to electronic data interchange standard that may not be specific to hospitals, while the health claim form is a more generic term that does not specify the required details for institutional billing, making them less appropriate for hospital claims. Thus, the UB-92/CMS 1450 is the standard that fits the needs of hospitals effectively for claims filing.