Document Understanding
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Document Understanding User Guide for Modern Experience
Last updated Apr 4, 2024

UB04 - ML Package


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 Understanding Skill is extracting 26 regular fields and 6 column fields containing key data points of the UB04.


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.


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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