Delete Surname Field to the Claims Reporting Form and eSign it in minutes

Aug 6th, 2022
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How to Delete Surname Field to the Claims Reporting Form

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All right, everyone. Welcome to another episode of all things Wildfire. And today, like, Im always excited. Im always excited when Im getting a new guest on. But when I hear some of these stories, Im like, okay, I need to have this person on. And and this is one of those moments where after we were talking, Im like, okay, we definitely have some things in here that, you know, Grant, I got to get you on. So let me introduce Grant Staking with Greenspan public adjusters. And guys, were going to dove into some of his experience and what hes done in some of the things to look out for when you have gone through a wildfire. But Grant, why dont you introduce yourself and let us know what what you do, what you what you have been doing and how your position here to to help homeowners with wildfire. Sure. Yeah. So my names Grant. Thanks for the intro. Im a vice president with the Greenspan Company Adjusters International. Greenspan has been around 77 years. Weve been helping homeowner

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UB-04 Form Locator code lookup FL 4 - Type of Bill. FL 14 - Priority (Type) of Admission/Visit. FL 15 - Point of Origin for Admission or Visit. FL 17 - Patient Status. FL 18-28 - Condition Codes. FL 31-34 - Occurrence Codes. FL 35-36 - Occurrence Span Codes. FL 39-41 - Value Codes.
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.
38. Responsible Party Name and Address Enter the responsible party name and address.
32 Required Service Facility Location Information - Enter the provider name. Enter the provider address, without a comma between the city and state, and a nine-digit zip code, without a hyphen. Enter the telephone number of the facility where services were rendered, if other than home or office.
True Blue. There is no POS code on a UB-04 form - the place of service is derived from the bill type and other information on the claim.
38. Responsible Party Name and Address Enter the responsible party name and address.
37 Reserved for Assignment by the NUBC Not Required N/A 38 Responsible Party Name and Address Not required N/A 3941 Value Codes and Amounts Situational These fields contain the codes and related dollar amounts to identify the monetary data for processing claims.
71 Prospective Payment System (PPS) Code Not required This code identifies the DRG based on the grouper software and is required only when the provider is under contract with a health plan using DRG codes.

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