National Uniform Billing Committee
The National Uniform Billing Committee (NUBC), formed in 1975 and operated under the American Hospital Association, is the U.S. standards body that develops and maintains the UB-04 institutional billing specifications and code sets used by hospitals, Medicare, Medicaid, TRICARE, and commercial payers for electronic claims processing.
- Company typePrivate
- Founded1975
- HeadquartersChicago, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What National Uniform Billing Committee does
The National Uniform Billing Committee (NUBC) is the designated national standards body for institutional healthcare billing in the United States, established in 1975 and operated under the American Hospital Association (AHA). NUBC develops and maintains the UB-04 data specifications and code sets — the de facto standard for institutional claims submitted by hospitals and other providers to Medicare, Medicaid, TRICARE, BlueCross BlueShield, and commercial payers. The UB-04 standard was codified under the Health Insurance Portability and Accountability Act (HIPAA) of 1996 as part of federal administrative simplification mandates for electronic healthcare transactions.
NUBC's product portfolio centers on three offerings: the Official UB-04 Data Specifications Manual (a subscription-based reference copyrighted by AHA and serving as the only authoritative source of UB data), the Official UB-04 Data File (a licensed Excel-format compilation of the complete sequential code set with no gaps), and the UB-04 Change Implementation Calendar documenting approved changes and effective dates. The committee publishes announcements, responds to emerging care delivery models (e.g., hospital-at-home codes in 2021, disaster alternate care sites in 2020), and submits comment letters to federal regulators on proposed rules affecting electronic transactions.
Revenue is generated through manual subscriptions and data file licensing, though pricing is not publicly disclosed and the committee does not report independent revenue, consistent with its role as a nonprofit standards body under AHA governance. NUBC holds biannual public meetings (April and August), joint sessions with the National Uniform Claim Committee (NUCC), and includes representatives from CMS, America's Health Insurance Plans (AHIP), Blue Cross Blue Shield Association, the Federation of American Hospitals (representing HCA and Community Health Systems), the Healthcare Financial Management Association (HFMA), X12, the Defense Health Agency, and state-level uniform billing committees.
National Uniform Billing Committee firmographics
Firmographics- Name
- National Uniform Billing Committee
- Legal name
- American Hospital Association
- Website
- https://nubc.org
- Company type
- Private
- Founded year
- 1975
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- The National Uniform Billing Committee (NUBC), formed in 1975 and operated under the American Hospital Association, is the U.S. standards body that develops and maintains the UB-04 institutional billing specifications and code sets used by hospitals, Medicare, Medicaid, TRICARE, and commercial payers for electronic claims processing.
- Ownership category
- akta.pro rank
National Uniform Billing Committee industry classification
Industry- Product category
- Healthcare Billing Standards
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro industry
- Healthcare Billing & Patient Payments PresentmentFraud, Waste & Abuse (FWA) Detection & SIU SupportBusiness & Public Services/Administrative & Support Services (BPO, Call Centers, Back Office)/Claims Processing & Adjudication SupportFHIR/HL7 Data Repositories & Canonical Data ModelsHealthcare & Life Sciences/Digital Health & Health IT/Healthcare Data Platforms, Warehousing & Governance
Keywords
Where National Uniform Billing Committee is headquartered
LocationHeadquarters
- HQ city
- Chicago
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
National Uniform Billing Committee business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Others
Revenue model
- Manual Subscriptions: Subscription to the Official UB-04 Data Specifications Manual, which is copyrighted by the American Hospital Association. This is the only official source of UB Data.
- UB-04 Data File Licensing: Licensing of the Official UB-04 Data File containing the complete set of NUBC codes in sequential order with no gaps.
Go-to-market motion1 record
Distribution channels2 records
Marketing channels3 records
National Uniform Billing Committee product offering
Product offeringCore offering
NUBC develops and maintains the UB-04, the standardized billing form and data specifications used nationwide by institutional healthcare providers and payers for institutional claims. It monetizes this standard by offering the Official UB-04 Data Specifications Manual on a subscription basis and the Official UB-04 Data File (complete code set in Excel) via licensing, both administered through the American Hospital Association.
Product overview
The National Uniform Billing Committee offers a subscription-based product portfolio centered on the UB-04 institutional billing standard. The core offering is the Official UB-04 Data Specifications Manual, which is the only authoritative source for UB data specifications used by institutional healthcare providers and payers nationwide. Complementary products include the Official UB-04 Data File (a complete code reference in Excel format) and the UB-04 Change Implementation Calendar documenting updates and effective dates. These products support administrative simplification goals outlined in HIPAA.
Differentiator
Problem solved
Functional benefit
Products and services
- Official UB-04 Data Specifications Manual
Quantifiable outcome
- More than 98% of hospital claims submitted electronically to Medicare program
- +1 more outcomes
Companies that use National Uniform Billing Committee
Customer profileSegments3 records
Ideal customer profiles3 records
National Uniform Billing Committee technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
National Uniform Billing Committee partnerships and signals
Strategic signalPartnerships
Ten partnerships are on record, tiered core and major.
- Centers for Medicare & Medicaid Services (CMS)coreCMS participates as a member organization representing Medicare and Medicaid programs, providing federal government perspective on claims processing requirements.
- American Hospital AssociationcoreAHA hosts and administers NUBC. The Official UB-04 Data Specifications Manual is copyrighted by AHA.
- National Uniform Claim Committee (NUCC)coreNUCC holds joint meetings with NUBC. NUCC handles professional claim standards while NUBC handles institutional claim standards.
- America's Health Insurance PlansmajorAHIP provides representation from health insurance plans for commercial payer perspective on billing requirements.
- Blue Cross Blue Shield AssociationmajorBCBSA participates as member representing Blue Cross Blue Shield plans for standardization of claims processing.
- Federation of American HospitalsmajorFAH represents for-profit hospital systems including HCA and Community Health Systems.
- Healthcare Financial Management AssociationmajorHFMA provides expertise on healthcare financial management and revenue cycle perspectives.
- X12coreX12 develops electronic data interchange (EDI) standards including the 837 transactions that carry UB-04 data.
- Defense Health AgencymajorDHA administers the TRICARE program and benefits, representing military healthcare claims requirements.
- State Uniform Billing Committees (SUBCs)majorSUBCs handle state-level implementation and dissemination of UB-82/UB-04 manuals reflecting national guidelines and unique state billing requirements.
Scale indicators2 records
Recent moves6 records
Expansion highlights5 records
National Uniform Billing Committee competitors and assessment
Company assessmentBroad incumbents
- American Medical Association (AMA): AMA owns and maintains the CPT code set, the dominant procedure coding standard that interfaces with UB-04 revenue codes on institutional claims. AMA participates in NUBC governance through the NUCC and coordinates across professional and institutional coding.
- Centers for Medicare & Medicaid Services (CMS): CMS mandates the use of UB-04 data content under HIPAA for Medicare and Medicaid institutional claims and is itself a NUBC member organization. CMS regulatory rulemaking defines how UB-04 data elements are consumed in federal programs.
- Office of the National Coordinator for Health IT (ONC): ONC drives US healthcare interoperability policy including FHIR-based API standards and USCDI. ONC's policy direction shapes whether UB-04 remains the authoritative institutional claim data format or is progressively supplemented/replaced by API-native standards.
Emerging players
- National Council for Prescription Drug Programs (NCPDP): NCPDP is a designated standards maintenance organization for pharmacy transactions (Telecommunication and SCRIPT standards), analogous to NUBC's role for institutional claims. The two organizations address different but adjacent healthcare EDI domains under the HIPAA umbrella.
- HL7 (Health Level Seven International): HL7 develops FHIR and other healthcare interoperability standards that increasingly complement or compete with traditional EDI-based claim standards like UB-04. As a Designated Standards Maintenance Organization, HL7 is part of the same regulatory standards ecosystem NUBC operates in.
Direct peers
- ASC X12: X12 develops the EDI standards (including the 837 Institutional Health Claim transaction) that carry UB-04 data elements electronically. NUBC's UB-04 data content and X12's 837 transaction set are tightly coupled layers of the same institutional billing workflow.
- National Uniform Claim Committee (NUCC): NUCC develops and maintains the professional (non-institutional) claim standard, the CMS-1500, while NUBC maintains the institutional UB-04. The two committees hold joint meetings and together define the US healthcare billing standards ecosystem.
Others
- American Health Information Management Association (AHIMA): AHIMA is the professional association for health information management whose members (HIM/coding professionals) are primary users of UB-04 specifications in hospitals. AHIMA's credentialing and education ecosystem depends on UB-04 data fluency.
- Healthcare Financial Management Association (HFMA): HFMA is a NUBC member organization representing healthcare financial management and revenue cycle expertise. HFMA's peer-reviewed revenue cycle maps and industry guidance reinforce adoption of UB-04 standards across hospitals.
- Workgroup for Electronic Data Interchange (WEDI): WEDI is a healthcare industry advisor to HHS on electronic data interchange and administrative simplification, the same policy goals NUBC supports under HIPAA. WEDI's policy work and convenings shape the regulatory environment in which UB-04 operates.
Market position
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
National Uniform Billing Committee financial estimates
Financial estimateRevenue estimate
Valuation estimate
National Uniform Billing Committee leadership team
Management profileNumber of profiles
Profiles17 records
National Uniform Billing Committee funding detail
Funding detailFunding overview
Funding rounds
Investors
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National Uniform Billing Committee M&A and investment
M&A and investmentM&A
Investments
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Frequently asked questions about National Uniform Billing Committee
What does National Uniform Billing Committee do?
NUBC develops and maintains the UB-04, the standardized billing form and data specifications used nationwide by institutional healthcare providers and payers for institutional claims. It monetizes this standard by offering the Official UB-04 Data Specifications Manual on a subscription basis and the Official UB-04 Data File (complete code set in Excel) via licensing, both administered through the American Hospital Association.
Is National Uniform Billing Committee a public or private company?
National Uniform Billing Committee is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was National Uniform Billing Committee founded?
National Uniform Billing Committee was founded in 1975. It employs 101 to 250 people.
Where is National Uniform Billing Committee based?
National Uniform Billing Committee is headquartered in Chicago, United States, in the North America region.
How does National Uniform Billing Committee make money?
Two revenue lines are on record. Manual Subscriptions are the primary driver. The others are UB-04 Data File Licensing.
Who are National Uniform Billing Committee's main competitors?
Broad incumbents on record are American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health IT (ONC). Emerging players are National Council for Prescription Drug Programs (NCPDP) and HL7 (Health Level Seven International). Direct peers are ASC X12 and National Uniform Claim Committee (NUCC). Others are American Health Information Management Association (AHIMA), Healthcare Financial Management Association (HFMA) and Workgroup for Electronic Data Interchange (WEDI).
Does National Uniform Billing Committee have an API?
No public API is recorded for National Uniform Billing Committee.
What industry is National Uniform Billing Committee in?
National Uniform Billing Committee's product category is Healthcare Billing Standards. Its primary akta.pro industry code is FSAMAJAH, Healthcare Billing & Patient Payments Presentment, with a secondary code of BPAAAFAH, Fraud, Waste & Abuse (FWA) Detection & SIU Support. Its NAICS code is 524292 and its SIC code is 6324.