UB-04 豫令说明书 hospice 费用说明书 UB-04 Billing Instructions for Hospice Claims Locator # Description Instructions Alerts 1 Provider Name,Address, Telephone # Required. Enter the name and address of the facility 2 Pay to Name/Address/ID Situational. Enter the name, address, and ...
IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare reimbursement policies may...
All providers: The only revenue codes allowed on a NYS Medicaid form are those listed below. NO other revenue codes or notations should be entered in that area of the form. FL 42 - Revenue code, Revenue Code 0001= Amount charged, enter the amount charged in FL 47 on the same line as...