Which form is used by ambulatory surgery centers and home health care organizations to submit claims?

Ambulatory surgery centers and home health care organizations typically utilize the UB-04 claim form to submit claims for services provided. The UB-04 is specifically designed for institutional providers, which includes hospitals, rehabilitation facilities, nursing homes, and outpatient clinics, among others. This form allows for the reporting of a wide range of services and procedures, including those offered in surgery centers and home health environments.

It's crucial to understand the context in which each form is used. The CMS-1500 (also known as the HCFA-1500) is used primarily for professional medical services performed by individual practitioners. The ANSI X12 is a set of standards for electronic data interchange that may be used in healthcare claims processing, but it is not a form per se used for direct submission of claims in a typical paper format. Therefore, the UB-04 is the appropriate form for these specific types of facilities to ensure correct and efficient claims processing.