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The CMS-1500 form is primarily used for billing by individual healthcare providers, such as physicians and therapists, for services rendered to patients in outpatient settings. In contrast, the CMS-1450 form, also known as the UB-04, is used by hospitals and other institutional providers to bill for inpatient and outpatient services. The two forms differ in their structure, content, and the types of services they are designed to represent, reflecting the distinct billing needs of individual practitioners versus healthcare institutions.
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