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This manual gives detailed line by line instructions on how to complete the UB04 claim form. Paper UB04 forms should have all relevant information. Committee's Official UB-04 Data Specifications Manual. 5. FEDERAL TAX NUMBER. Enter the service provider's Federal Tax Identification number. You can access the UB-04 billing information adopted by the NUBC by subscribing to the Official UB-04 Data Specifications Manual. This manual, copyrighted UB-04 User Manual. The PDF document will give detailed instruction on using our HCFA-1500 eDirect/Fill & Print Software. UB-04 CMS 1450 -Excel File (Manual Import) – Allows the user to import from their Please contact us via e-mail: Support@UB-04software.com. UB-04 Claim Form Instructions. FORM LOCATOR NAME. INSTRUCTIONS. 1. Billing Provider Name &. Address. Enter the name and address of the hospital/facility. This form, also known as the UB-04, is a uniform institutional provider bill suitable for use in billing multiple third party payers.