Pennsylvania Code
Title 28 - HEALTH AND SAFETY
Part VI - Health Care Cost Containment Council
Chapter 911 - DATA SUBMISSION AND COLLECTION
Subchapter A - STATEMENT OF POLICY
Section 911.2 - Pennsylvania Uniform Claims and Billing Form format-Statement of Policy

(a) General requirements. The Pennsylvania Uniform Claims and Billing Form format consists of the UB-92/HCFA 1450 and HCFA 1500, or their successors, and additional elements adopted by the Council. The billing form shall be utilized and maintained by data sources and for services covered by the act for the purposes of maintaining common data and common billing formats.

(b) Uniform definitions for the Pennsylvania Uniform Claims and Billing Form format. Definitions for use of the Uniform Claims and Billing Form shall be in accordance with the manual developed by the National Uniform Billing Committee and definitions contained in the Council manual number HC-87-101. Definitions in the Council manual HC-87-101 take precedence over National Uniform Billing Committee definitions.

(c) Patient bill requirements. Beginning November 13, 1987, a provider shall present to a patient a copy of a bill for covered services upon discharge from a health care facility or provision of physician services or within a reasonable time thereafter. When providing a patient with copies of a bill for inpatient or outpatient covered services, a provider may use revenue descriptions and charges contained in the Pennsylvania Uniform Claims and Billing Form format or may itemize the charges for services, equipment, supplies and medicine.