EDI Medical UB-04 Claims Procedures (Security Health Plan) EDI Medical UB-04 Claims processing procedures: EDI Medical UB-04 Claims completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 66. Diagnosis code qualifier – This reflects which ICD-9 edition used – Not required. 67. Principal diagnosis code – The … Read More →
Claims Processing Procedures: UB-04 Security Health Plan Claims processing procedures: UB-04 claim completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 37. Unlabeled 38. Subscriber name and address – The name and address of the party responsible for the bill. This information must be … Read More →
Claims Processing Procedures: UB-04 Security Health Plan Claims processing procedures: UB-04 claim completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 9. a – Patient address – Full mailing address of the patient. (Required) 10. Patient birth date – The patient’s birth date must … Read More →
Claims Processing Procedures: UB-04 Security Health Plan Claims processing (UB-04 claim) completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers. The data elements are listed as fields on the claim form. Security Health Plan claims processing systems require that a complaint red form be used. If the … Read More →