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Delete Smart Field to the Accident Medical Claim Form

Delete Smart Field to the Accident Medical Claim Form

Aug 6th, 2022

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How to Delete Smart Field to the Accident Medical Claim Form

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Got questions?

Below are some common questions from our customers that may provide you with the answer you're looking for. If you can't find an answer to your question, please don't hesitate to reach out to us.

What goes in box 17 on UB04?

17. * Patient Status Enter the 2-digit patient status code that best describes the patients discharge status. 05-Discharged/transferred to another type of institution for inpatient care or referred for outpatient services to another institution.

What is field 14 on UB 04?

Box 14 of the UB04 claim form requires a description of the type of admission. You can quickly add this information via the patients encounter under your Live Claims Feed. Navigate to Billing Live Claims Feed Inside the patients encounter right side of the screen info tab.

What goes in box 16 on UB04?

16. Discharge Hour Enter the hour (using a two-digit code below) that the patient entered the facility.

What is Box 17 on UB claim form?

The Patient Status Code (Form Locator 17 on the UB04 claim form) identifies patient status as of statement covers through date and is required on all Institutional Inpatient and Outpatient claim types.

What is Box 39 on UB04?

Box 39-41; a-d Value codes and amounts: (Optional) Use these locators to indicate codes and amounts essential to the proper adjudication of the submitted claim. Each form locator contains a three digit field in which to key the indicator code, and a larger free text field in which to designate an applicable amount.

What is fl 17 patient discharge status?

Medicare requires that when discharging a patient from an inpatient stay, the discharging facility reports the discharge disposition in the Patient Discharge Status field (FL 17). The claim must include the discharge status code that most accurately reflects the discharge of the patient.

What goes in box 18 on a UB04?

Condition codes are a 2-digit numerical or alphanumeric representation of aspects of a patient, services provided, the type of service venue, and/or billing situations that can impact the processing of an institutional claim by a payer. These codes are listed in boxes 18-28 on the UB04 form.

What is field 23 in CMS 1500 claim form?

Box 23 is used to show the payer assigned number authorizing the service(s).

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