UB-04 Manual Order Form

The North Carolina Hospital Association, in conjunction with the American Hospital Association (Chair of the National Uniform Billing Committee (NUBC)), is offering subscriptions to a printable electronic version of the final UB-04 Data Specifications Manual. Hard copies are no longer available. This subscription also entitles you to access the Subscribers Only section of the NUBC web site.

Download an order form (MS Word format):

Questions should be directed to Helen Vennard at 919/677-4224 or hvennard@ncha.org.