Ub type of bill 121
Data Element Specifications - COMPdata Info
The following UB bill types are ONLY applicable for voluntary outpatient and swing bed data submission: 18X, 71X, 72X, 74X, 75X, 76X, 77X, 78X, 79X, 84X, and 89X. (X values = 0, 1, 7, or 8). Bill type 2, 3, or 4 will be accepted for only voluntary data – …
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This Claim is rejected for Invalid Information within the Type of bill for UB claim. Verify the Type of Bill is valid. ... The Claim Filing Indicator for the other insurance cannot be MA. X223.423.2400.LX01.030. A3:121. This Claim is rejected for the Service line number greater than maximum allowable for payer.
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Physical Therapy (PT) Occurrence Codes. Occupational Therapy (OT) Occurrence Codes. Speech-Language Pathology (SLP) Occurrence Codes. 11 - Onset symptom/Illness
[DOC File]Department of Veterans Affairs Home
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1594 05/20/92 Bill canceled, wrong form type. FOLLOW-UP DT: 06/01/92. Carrier refuses to process this type of bill on a UB-92. They are requiring the HCFA 1500 form. Enter ?? for more actions BC Bill Charges AR Account Profile VI Insurance Company
[DOC File]Ambulatory Surgical Center Section II
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215.121. Request for Extension of Benefits for Clinical, Outpatient, Laboratory and X-Ray Services, form DMS-671. ... TYPE OF BILL See the UB-04 manual. Four-digit code with a leading zero that indicates the type of bill. 5. FED TAX NO The number assigned to the provider by the Federal government for tax reporting purposes.
[DOC File]WASHINGTON STATE DEPARTMENT OF HEALTH
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BILL TYPE (BILLTYPE) NUBC codes used to indicate type of bill. Distribution is normal. Providence hospitals have Bill Type 121 for a few of their newborns. WEEKEND INDICATOR – (AWEEKEND) DOH generated indicator – 0 = weekday and 1 = weekend admission. Distribution is normal. AGE IN MONTHS (AGE_MONTH) There is a normal distribution. See Age ...
[DOCX File]Integrated Billing (IB) Version 2.0 User Guide
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If the MULTIPLE FORM TYPES site parameter is set to YES, a form type prompt will appear. The UB-82 and UB-92 are considered a single form, so for a site to have multiple forms they would have to use one of the UB forms and the HCFA-1500. ... Bill From Bill To Charge Type Bill # Cancel Reason Stop Charge----- 1 09/15/20 09/15/20 DG OPT COPAY NEW ...
EOC
UB-92 Revenue AND UB-92 Type of Bill 045x, 0981 13x OR CPT 99281-99285 *Do not include ED visits that result in an inpatient admission. Step 2 …
[DOC File]Recommended Encounter Data Set Elements
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Nov 16, 2017 · Table D for the UB Type of Bill values indicating place. Note that for UB Type of Bill, use the 1st and 2nd positions only.) X X X X 33 Place of Service Type A code identifying the type of code provided: 1 = CMS 1500. 2 = UB Type of Bill X X X X 34 Discharge Status For inpatient admissions, the UB Patient Status. (See Table E) X X
[DOC File]Section III All Provider Manuals
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353.000 CMS-1450 (UB-04) Data Specifications Manual 11-1-17 Revenue codes and other data, which are used for institutional claims, can be found in the CMS-1450 (UB-04) Data Specifications Manual. Providers can order this manual by subscription. Section III. Section III-1
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