Completing the UB-04 Billing Form: Locators 1-41

Learn how to complete FL 1-41 of the UB-04 billing form as it applies to all payers, including Medicare, Medicaid and commercial payers. Learners will become familiar with each form locator and understand detailed information about the codes needed to fill in these data areas.

Estimated course completion time: 1 hour and 30 minutes.

We also offer The UB-04 Billing Form: Form Locators 42 through 81 here.

Learning Objectives:

After this program you’ll be able to:

• Recognize the UB-04 format Form Locators (FL).
• Recognize how a bill type identifies the provider, the type of service and the frequency of billing.
• Identify the source of admission codes.
• Define discharge status codes.
• Recognize the condition codes and what these codes represent.
• Recognize occurrence codes and dates.
• Differentiate between occurrence codes and occurrence span codes.
• Identify value codes and what these codes represent.
• Identify where to find additional information on the internet.

General Program Information