UB-04 Claim Form – Full Field Locator Breakdown

All UB-04 FL 1–81 fields with full descriptions & search.

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Showing 81 of 81 fields
FL #Field NameDescription
1Billing Provider InfoFacility name, address, city, state & ZIP.
2Pay-To Provider InfoAddress where payment should be sent (if different).
3Patient Control NumberPatient account/claim tracking number.
4Type of BillFacility type, bill classification & frequency code.
5Federal Tax NumberProvider's EIN or SSN.
6Statement Covers Period"From" and "Through" dates for services.
7ReservedNot used.
8Patient NameFull legal patient name.
9Mailing AddressPatient’s full mailing address.
10BirthdatePatient's date of birth.
11SexPatient gender.
12Admission DateDate patient was admitted.
13Admission HourTime of admission in 24-hour format.
14Admission TypeEmergency, urgent, elective, newborn, etc.
15Admission SourceWhere patient came from (clinic, ER, transfer).
16Discharge HourTime patient was discharged.
17Patient StatusFinal patient disposition (home, SNF, expired, etc.).
18–28Condition CodesCodes describing conditions affecting claim/payment.
29Accident StateState where accident occurred.
30ReservedNot used.
31–34Occurrence CodesSignificant events & dates (accidents, onset dates).
35–36Occurrence Span CodesEvent time periods with "From–To" dates.
37Internal Control NumberPayer claim control number (for resubmissions).
38Responsible PartyPerson financially responsible.
39–41Value CodesMonetary or numeric info tied to billing.
42Revenue CodeRevenue/service department code.
43DescriptionDescription of service or revenue category.
44HCPCS / RateHCPCS codes, modifiers, and service rate.
45Service DateDate each service occurred.
46UnitsNumber of units or service count.
47Total ChargesTotal charges for that revenue line.
48Noncovered ChargesCharges patient/payer is not responsible for.
49ReservedNot used.
50Payer NamePrimary, secondary, tertiary payer names.
51Health Plan IDPayer-specific plan identification.
52Release of InformationIndicates whether ROIs are on file.
53Assignment of BenefitsWhether provider accepts benefit assignment.
54Prior PaymentsPayments already made by patient/other payer.
55Estimated Amount DueAmount still expected from payer.
56National Provider Identifier (NPI)Billing provider’s 10-digit NPI.
57Other Provider Identifier Legacy identifiers or payer-required IDs (taxonomy, Medicaid ID, etc.).
58Insured’s NameName of the insured/policyholder.
59Patient Relationship to Insured Relationship codes: Self, Spouse, Child, Other.
60Insured’s Unique ID Subscriber ID number exactly as on the insurance card.
61Group Name Employer or group plan name tied to the insurance.
62Group Number Group policy/plan identification number.
63Authorization Number Prior authorization, referral, or pre-certification number.
64Document Control Number Original payer claim reference for resubmission or adjustments.
65Employer Name Employer of the patient or insured.
66Diagnosis Version Indicates ICD version used (ICD-10 = “0”).
67Principal Diagnosis Main diagnosis responsible for admission.
67A–67QOther Diagnosis Codes Additional diagnoses contributing to care.
68ReservedNot used.
69Admitting Diagnosis Diagnosis that justified hospital admission.
70Patient Reason for Visit Up to three codes describing reason for outpatient visit.
71PPS Code DRG or Prospective Payment System code when required.
72External Cause of Injury Codes Codes describing external cause of injury (E-Codes).
73ReservedNot used.
74Principal Procedure Code & Date Main procedure performed & corresponding date.
74A–74EOther Procedure Codes & Dates Additional significant procedures & dates.
75ReservedNot used.
76Attending Provider Attending physician’s NPI, name, and ID qualifiers.
77Operating Provider Operating surgeon's NPI & identifiers.
78–79Other Providers Additional rendering, referring, or supervising providers.
80Remarks Additional claim remarks, clarification, or payer-required notes.
81Code-to-Code (C2–C9) Payer-specific data such as taxonomy codes, condition indicators, or clarifying codes.
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