document-understanding
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Document Understanding User Guide
Automation CloudAutomation Cloud Public SectorAutomation SuiteStandalone
Last updated Nov 7, 2024

UB04 - ML package

Overview

The UB-04, or CMS-1450, is a standardized claim form used by healthcare providers to bill Medicare, Medicaid, and private insurance for institutional services. It includes essential details about the patient, services provided, and costs incurred, streamlining the reimbursement process for healthcare facilities.

This Document UnderstandingTM skill is extracting 26 regular fields and 6 column fields containing key data points of the UB04.

Particularities

The skill is trained to automatically detect data such as:

  • Billing Name, Billing Address, Billing Tax ID Number;
  • Patient Name, Patient Address, Patient DoB;
  • Admission Date, Admission Hour, Type of Visit;
  • Value Code, Value Amount.
Note: For the complete list of extracted fields, check the Out-of-the-box Models Details file.

Samples

You can download the a sample filled-in form from here.

You can also preview the sample of a filled-in form:



  • Overview
  • Particularities
  • Samples

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