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1 3a PAT. CNT # b. MED. REC. # 2 R 4 O R LB 6 5 FED. TAX NO. LB an R 11 SEX R 12 c R 31 OCCURRENCE CODE DATE ADMISSION 13 HR 14 TYPE 15 SRC 16 DHR 17 STAT DATE 32 OCCURRENCE CODE DATE A R R O A 33
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What is healthchoice ub-04 field descriptions?
Healthchoice UB-04 field descriptions are standard codes and descriptions used for submitting claims for health insurance coverage.
Who is required to file healthchoice ub-04 field descriptions?
Healthcare providers and facilities are required to file healthchoice UB-04 field descriptions when submitting claims for payment.
How to fill out healthchoice ub-04 field descriptions?
Healthchoice UB-04 field descriptions should be filled out with the appropriate codes and descriptions that accurately reflect the services provided.
What is the purpose of healthchoice ub-04 field descriptions?
The purpose of healthchoice UB-04 field descriptions is to provide a standardized format for submitting claims and ensure accurate and timely processing.
What information must be reported on healthchoice ub-04 field descriptions?
Information such as patient demographics, diagnosis codes, procedure codes, and billing information must be reported on healthchoice UB-04 field descriptions.
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