Bill type ub 04

• [DOC File]Form Locator Number

  https://info.5y1.org/bill-type-ub-04_1_f0b475.html

  5 = Late Charge. **For further explanation on Type of Bill, please refer to the NUBC UB04 Official Data Specifications Manual. 5Provider’s Federal Tax Identification Number6Date(s) of Service (Enter MMDDYY, example 010106)7Leave Blank8aPatient ID (Required if different than the subscriber/insured ID in Form Locator 60)8bPatient’s Name (last ...

  cms list of bill types

---

• Commonwealth of Massachusetts

  4 Type of Bill Enter the four-digit code to indicate the type of bill. The fourth digit defines the frequency of the bill for the institutional claim. The type of bill codes and UB-04 claim frequency type code values for specific provider types are listed in the Code Sets for the UB-04 Claim Form section of this guide. 5 Fed.

  type of bill cheat sheet

---

• [DOC File]UB04 Billing Instructions Guide - Maine

  https://info.5y1.org/bill-type-ub-04_1_858399.html

  Jun 08, 2020 · Figure 3 4: FL 4 Type of Bill. Required. Please use the National UB-04 manual for specific codes. Enter the four-digit code from the National UB-04 manual for the provider type that indicates the type of bill using the following guidance by Provider Type. Hospitals must use appropriate TOB when billing for serious reportable events.

  what is bill type 137

---

• How to Bill for Payment for Administration of COVID-19 ...

  IF BILING ON THE UB-04 USE THESE FIELDS ON THE UB-04. Field No. Field Name; Description; 4. Type of Bill. Enter 231 type of bill. 39-41. Value Code Code/Amount. Enter Value Code 24 along with the total charge amount for HCPCS code. 42. Rev. Cd. Enter revenue code 0220. 022x. Special Charges.

  type of bill 114 means

---

Nearby & related entries:

• ubuntu 20 04 vs 18 04 performance
• ub procurement
• outpatient bill type code
• outpatient bill type ub
• bill type ub 04
• ub type of bill 121
• ub type of bill 115
• ub 04 example