Official ub-04 data specification manual 2015

Editor's note: The Official UB-04 Data Specifications Manual 2018 [2015], adopted by reference in 7 AAC 27.660, may be reviewed at the Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records (formerly, the Bureau of Vital Official UB-04 Data Specifications Manual, 2019 ed. (1) Single User The official source of UB-04 billing information adopted by the National Uniform Billing Committee (NUBC). The 2019 edition contains the updated specifications for the data codes included on the Uniform Bill claim form. Current UB-04 Correspondence Updated language overall to reflect the Official UB-04 Data Specification Manual published by the National Uniform Billing Committee (NUBC) NOTE: If you submitted your hospitals Q4-2015 data on or before February 24, 2016, the above modifications have been UB-04 Form The Uniform Bill (UB-04) is the standardized billing form for institutional services. Blue Cross and Blue Shield of New Mexico offers this guide for completion of the UB-04 form for your patients with Blue Cross (facility) coverage. For information on the UB-04 billing form, or to obtain an Official UB-04 Data Specifications Manual, UB 04 - FL 67 - POA indicator missing Denial• POA is defined as being present at the time the order for inpatient admission occurs. Conditions that develop during an outpatient encounter, including emergency department and/or observation services, or outpatient surgery, are considered POA. National Uniform Billing Committee Ub 04 Manual The official UB-04 Data Specifications Manual 2016 is the source of UB-04 billing information adopted by the National Uniform Billing Committee (NUBC). BCBSVT follows the National Uniform Claim Committee's official UB-04 Data You will need to refer to the manual for definitions, field attributes National Uniform Billing Committee Official UB-04 Data Specifications Manual 2016 COPYRIGHT NOTICE The UB-04 Data Specifications Manual (the "UB-04 Manual") i