Type of Bill Specific codes required Refer to UB04 manual R Enter the 4digit code to indicate the specific type of bill eg hospital inpatient outpatient replacements voids etc The first digit is a leading zero The next 2 digits indicate the type of bill The fourth digit indicates the frequency of the bill
UB04 Type of Bill Codes or TOB Code is a 4 digit alphanumeric code that identifies the kind of bill submitted to a payer from the billing company TOB codes specify different parts of information on the UB04 claim form or CMS1450 claim form UB04 Type of Bill Codes List reported in field locator 4 on line 1 TOB Codes description as per Digit
Bill Type Codes 011X Hospital Inpatient Part A 012X Hospital Inpatient Part B 013X Hospital Outpatient 014X Hospital Other Part B 018X Hospital Swing Bed 021X SNF Inpatient 022X SNF Inpatient Part B 023X SNF Outpatient 028X SNF Swing Bed 032X Home Health 034X Home Health Part B Only 041X Religious Nonmedical Health Care Institutions
Required The minimum entry is the provider name city State and ZIP Code The post office box number or street name and number may be included The State may be abbreviated using standard post office abbreviations Five or ninedigit ZIP Codes are acceptable This information is used in connection with the Medicare provider number
bill types 185 hospital swing beds late charges only claim 187 hospital swing beds replacement of prior claim 188 hospital swing beds voidcancel of prior claim skilled nursing 211 skilled nursing admit through discharge 212 skilled nursing interim first claim 213 skilled nursing interim continuing claim 214 skilled nursing final claim 215 skilled nursing late charges only claim
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Type of Bill Codes FindACode
Provider applies this code to corrected or new bill 8 VoidCancel of Prior Claim See adjustment third digit Use to indicate this bill is an exact duplicate of an incorrect bill previously submitted A code 7 Replacement of Prior Claim is being submitted showing corrected information 9 Final claim for a Home Health PPS Period A
Ubo4 Bill Type Codes
Washington Health Care Authority Inpatient Interim Billing Guidelines Type of bill coding examples 0112 First claim paired with patient discharge status code 30 0113 Each subsequent claim paired with patient discharge status code 30 0114 Last claim coded paired with the discharge status code that matches
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HHH responsible for receiving institutional claims also maintain lists of codes used by Medicare All items on Form CMS1450 are described The AB MAC A or HHH FL04 Type of Bill 1 AN 4 1 FL05 Federal Tax Number 1 AN 4 FL05 Federal Tax Number 2 AN 10 FL06 Statement Covers Period FromThrough 1 NN 66 11
by FindACode Oct 11th 2018 Type of bill codes identifies the type of bill being submitted to a payer Type of bill codes are fourdigit alphanumeric codes that specify different pieces of information on claim form UB04 or form CMS1450 and is reported in box 4 on line 1 First Digit Leading zero Ignored by CMS Second Digit Type of
RequiredThe Type of bill code is comprised of three parts a leading 0 the Facility Type Code and the Bill Frequency Type Code This field should be 4 digits when completed The first two digits following the zero indicate the type of facility The final digit indicates the type of bill Below are all acceptable codes to bill to
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