
Get the free UB04 Box 4 - Type of Bill on an institutional claim
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Keying a ClaimConnectCenterKeying an Institutional Claim UB04 ConnectCenter provides the ability to create a UB04 institutional claim through the Claims menu, Create a Claim option. There are minimum
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How to fill out ub04 box 4

How to fill out ub04 box 4
01
To fill out UB04 box 4, follow the steps below:
02
Obtain the UB04 claim form and locate box 4.
03
Enter the name, address, and zip code of the facility where the patient received medical services.
04
If the facility has multiple locations, enter the specific location where the services were provided.
05
Ensure that the information provided is accurate and up to date.
06
Double-check the entered information to avoid any errors.
07
Repeat the process for each claim form, if necessary.
Who needs ub04 box 4?
01
Healthcare facilities, such as hospitals, clinics, and nursing homes, need UB04 box 4 to provide accurate billing information.
02
Insurance companies also require this information to process claims properly.
03
Medical billing professionals and individuals responsible for submitting claims on behalf of patients also need UB04 box 4.
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What is ub04 box 4?
UB04 box 4 refers to the 'Episodic Care' field which indicates the number of covered days for the patient during the billing period.
Who is required to file ub04 box 4?
Healthcare providers or facilities submitting claims for services rendered to patients must file UB04 box 4, typically hospitals, skilled nursing facilities, and other healthcare providers.
How to fill out ub04 box 4?
To fill out UB04 box 4, the provider must enter the total number of covered days related to the patient's care during the specified billing period.
What is the purpose of ub04 box 4?
The purpose of UB04 box 4 is to provide payers with information about the duration of care provided, which impacts reimbursements.
What information must be reported on ub04 box 4?
UB04 box 4 must report the number of covered patient care days that apply to the billing period.
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