FL Condition Codes — 2 alphanumeric characters that identify conditions that may affect payer processing. FL Accident State — 2 digit character abbreviation of the state where the accident occurred ie: WI. FL Occurrence Codes and Dates — 2 alphanumeric characters that identify a significant event related to this claim. FL Occurrence Span Codes and Dates — 2 alphanumeric characters that identify an event that relates to payment of the claim. These codes identify occurrences that happened over a span of time.
FL Value Codes and Amounts — 2 alphanumeric characters that identify data elements that are necessary to process the claim and related dollar amounts or values. Enter revenue code as the last line with the sum of the charges billed. FL Revenue Description - A description or standard abbreviation for each revenue code reported. FL Service Date — The date on which the indicated service was provided. FL Service Units - A quantitative measure of services rendered including items such as the number of accommodation days, visits, miles, pints of blood, units of treatments.
FL Payer Name — Name of each health plan for which the provider might expect some payment for the bill. FL Rel. FL Asg. FL Est. Amount Due — represents an estimate by the hospital of the amount due from the indicated payer in FL50 on lines A, B, and C.
FL P. Both the CMS and UB forms contain many of the same boxes that need to be filled out including patient demographics, provider identification information, procedures and charges and insurance plan identification information.
It is important to include information like when the first occurrence began, is it recurring or onset, if it was related to an accident, etc. Also, always be sure to recheck all claims for coding accuracy. Unfortunately, there still may be gray areas as to which form is required. If you still have questions about these forms, the friendly representatives at StrataPT can help. Contact us today or schedule a free demo with one of our team members.
StrataPT, October 23, To do this, go to a search engine and enter the brand of your printer. The most common manufacturers are Hewlett Packard www. Search for your drivers according to the model number on the printer and install the appropriate drivers. For driver help, contact your printer manufacturer. Additionally, the Advanced Alignment feature has been added to allow users to make specific changes on a box-by-box basis.
Printer is unable to print close enough to the margins. Consult your printer manual for margin specifications. The easiest way to find the manual is go to Google and enter the make and model, as well as the word manual e. HP LaserJet manual. User was not aware of General Printer Alignment feature.
User was not aware of the Advanced Printer Alignment feature. Then, use the sliders on this window to make adjustments. Finally, save these settings by clicking the blue save diskette at the top right. We have several resources on this website that outline how exactly to fill out the form and some tips that will help you with submission. Tips Article on UB However if you have the proper print driver, you can save all your files as a PDF. You can achieve a PDF copy of a filled out form by doing the following:.
Download CutePDF. In this case, our EDI-enabled software allows the user to transmit paperless claims for electronic billing. Long story short: You want to be paid faster and speed up reimbursements. We have partnered with two companies to make this process as simple as possible. Please refer to the links below and read for more in-depth information.
Visit PHIcure. UB Software, Inc. We strive to deliver high-quality, affordable and reliable form filler software products that will increase the efficiency of your claim filing and ultimately your business. My Account. Frequently Asked Questions. View All Software Packages.
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