Medicare Uniform Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5 (CMS-1450)

ICR 202306-0938-002

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0997 can be found here:

Forms and Documents

Document Name	Status
Form CMS-1450 (UB04) Fr Medicare Uniform Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5 Form and Instruction	Modified
Supporting Statement - Part A UB04 - 2023.docx Supporting Statement A	2023-06-06

IC Document Collections

IC ID	Document Title	Status
43681	Medicare Uniform Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5 Form and Instruction	Modified

ICR Details