Cowboys
What FL is patient's age located?
10
What FL is authorzation codes listed
63
What FL is occurrence codes listed
31-34
What FL is revenue codes listed on?
42
What is the FL for TOB
4
What does the "B" in billing stand for?
Billing
What charge is required on an IP claim?
Treatment Room Charge
IP Room Charge
Any room Charge
IP Room Charge
What is the FL for admission date?
12
What is the FL for Medical record number?
3b
What FL is patient name
8b
What FL is Admissions source
15
What FL is responsible party name and address
38
What Fl is non-covered charges listed
48
What form locator is patient's id
8a?
How many FL are located on UB-04
81
What FL is NPI located
56
What FL is Admissions hour?
13
What form locator is the provider name and address listed?
1
What form locator is the units of service listed?
46
What FL is the Federal Tax-ID listed
5
What Fl is discharge hour
16
What FL is Principle Diagnosis/Other Diagnosis code listed?
67
What Fl is Admitting Diagnosis located?
69
What are some examples of TOB
111 121 137 131
What is the purpose of the occurrence codes?
Significant events affecting claim processing
Incidents or procedures affecting claim processing