UB04 for Long Term Care

If your long term care facility bills MaineCare for clients’ or residents’ charges, and you do not need a full Accounts Receivable System, our UB04 Electronic Billing by Exception application will meet your needs.

• Build a short face sheet for each client or resident.
• Create billing records for each MaineCare recipient.
• Bill for on-going, monthly charges and for other charges, such as therapy.
• For Nursing Care residents, maintain Medicaid Assessment Tables of completed MDS records that provide RUG scores to the bills (as required by the MIHMS system).
  • Bill for previous months by date range.
  • Let the system create your claims in the electronic format approved by MaineCare.
  • Speed your cash flow by submitting the file electronically using state-approved methods.
  • Print claim reports and/or paper bills for your files.