Uhlobo lweeNkcukacha zeBhili yeFomu yeBango le-UB-04

Misela uhlobo lweeNcwadi zeBill

Iikhowudi zeefowuni zikhowudi zeefayile ezi-3 zifumaneka kwifom yesicelo seBB-04 echaza uhlobo lomrhumo umniki-mali unika umhlawuli-mali, njengeMedicaid okanye inkampani yomshuwalense. Le khowudi iyadingeka kumgca 4 we-UB-04.

Idijithi nganye inenjongo ethile kwaye iyadingeka kuwo onke amabango e -UB-04 kwindawo yokufumana indawo 4. Makhe sihlolisise imimiselo yeefowuni zebhilikhi uze ubhekisise ukuba yeyiphi idijithi nganye kunye nendlela ebonakala ngathi.

Iikhowudi zishicilelwe kwiKomiti yeSizwe yoTyala lokuThengisa iNational Uniform (NUBC). Khangela incwadana yangoku naluphi na utshintsho okanye uhlaziyo.

Imizekelo yeeNtlu zeBill

Umfanekiso ohambelana ne-BSIP UIG / Getty Images

Nazi imimiselo yeentlobo zeekhowudi zebhilikhi kunye noko bathethayo.

I-Digit yokuqala yoLuhlu lweBhili yoLuhlu-uhlobo loNcedo

Idijithi yokuqala ibhekisela kuhlobo lwesibonelelo.

1 - Isibhedlele
2 - Abanobuchule abanesiqinisekiso
3 - Impilo Yasekhaya
4 - Isibonelelo seNkonzo yezeMpilo engeNyango (iSibhedlele)
5 - Iinkonzo zeNkonzo zeMpilo ezingekho phantsi kweMveli (Uncedo oluNyelweyo)
7 - Iikliniki
8 - I-Specialty Facility, Isibhedlele se-ASC

I-Digit yesiBini yoLuhlu lweBhili

Oko idilesi yesibini ibonakalisa kuxhomekeke kwidijithi yokuqala. Iineentlobo ezahlukeneyo zentsingiselo zeeklinikhi kunye nezibonelelo ezizodwa.

Idijithi yesibini ibhekisela kwisigaba sobhengezo ngaphandle kweeklinikhi kunye nezibonelelo ezizodwa.

Ukuba idijithali yokuqala ngu-1-5, ke idijithi yesibili yile:
1 - Isigulane (i- Medicare Part A )
2 - Inpatient ( Medicare Part B )
3 - Isigulane
4 - Okunye (Medicare Part B)
5 - Inqanaba leNkcazo yoNyaka phakathi
6 - Inqanaba II Uncedo oluphakathi
I-7-Subacute Isigulane (sokusetyenziswa kunye neNgeniso ye-Revenue Code 019X)
8 - Ibhedi Yokuguqa

Kwiiklinikhi kuphela:

Ukuba idijithali yokuqala i-7, ke idijithi yesibili yiyo:
1 - Ikliniki yezempilo yasemaphandleni
2 - iSibonelelo seSibhedlele esisisiseko okanye esizimeleyo seDial Dialysis
I-3 - iZiko lezeMpilo eliLungeleleneyo lezeMpilo (i-FQHC), uMboneleli oMiNtando oMahla
I-4 - Ezinye izibonelelo zokuXhobisa (ORF)
5 - Isibonelelo sokuPhepha okuPhezulu esiPheleleyo (CORF)
6 - Iziko lezeMpilo yengqondo (Community CMHC)

Izixhobo eziZodwa kuphela:

Ukuba idijithi yokuqala iyisi-8, idijithi yesibili yile:
1 - I-Hospitality Based Hospice
2 - Isibhedlele esisisigxina
I-3 - IiNkonzo zeZiko lokuPhepha zokuVikela kwiZibhedlele zeZibhedlele
I-4 - Ezinye izibonelelo zokuXhobisa (ORF)
5 - Isibonelelo sokuPhepha okuPhezulu esiPheleleyo (CORF)
6 - Iziko lezeMpilo yengqondo (Community CMHC)

I-Digit yesiThathu yeBhili yoLawulo lweBhodi yoLwazi-Frequency

Idijithi yesithathu ibhekisela kwixesha.

0 - Ukuhlawulwa kweerhafu okanye ii-Zero zamangalo
1 - Yamkela ngokuKhutshwa kweMali
2 - iTyimari (Ibango lokuqala)
3 - Iimviwo (Iimangalo eziqhubekayo)
I-4 - iTyimari (Ibango lokugqibela)
5 - Ukuhlawulwa kwexesha kuphela
7 - Ukutshintshwa kweBango eliPhambi okanye iBango eliLungisiweyo
8 - Ukukhutshwa okanye ukuChoxiswa kweBango eliPhambi
9 - Ibango lokugqibela kwi-PPS yempilo yePPS

Iintlobo zezixhobo Ukusebenzisa i-UB-04

Izixhobo ezisebenzisa ifom yeBB-04 ibandakanya:

Amabango afanelekileyo

Xa wenza utshintsho kwiibango zangaphambili ezihlawulwe, amanqaku amaninzi achanekileyo angathunyelwa ngekhompyutha.

1. Hlaziya i-Code Frequency Code nge: 7 = Ukutshintshwa kwesibango sokuqala 8 = Ukungabikho / ukuchithwa kwebango langaphambili

2. Hambisa ibango usebenzisa i-DCN (inombolo yolawulo lwencwadi) okanye i-ICN (inombolo yangaphakathi yokulawula) kwingcaciso yomhlawuli wentlawulo (i-EOP) okanye ukukhishwa kwe- elektroniki .

3. Ukuba kufuneka ungenise ibango elichanekileyo kwiphepha, qiniseka ukuba ifomathi ilungile. Abanye abakhokheli bamkela iinguqu ezimnyama-kunye ezimhlophe zenguqu zamabango ezonyango kodwa inkqubo efanelekileyo kukungenisa ingqungquthela yokuqala ebomvu neyemhlophe. Ngokuxhomekeke kumbahlawuli, xa ifom yesibango sokuqala ayisetyenzisiweyo, ibango alikwazi ukukhangela kwinkqubo yabo ngokufanelekileyo ukudala ukulibazisa okanye ukuphika intlawulo.

Amaphuzu abalulekileyo ekuzaliseni la mabango afaka:

Ngaphantsi kweeNcwadi zeBill kwiFomu yeBango le-UB-04

Ingcaciso engentla ichaza injongo yangoku yeenombolo ezi-3 kwifomu yebango le-UB-04. Olu lwazi luya kutshintshwa kwaye luhlaziywe, kodwa nayiphi na inguqu inokufunyanwa kwiKomiti yeSizwe yoTyala lokuTyala (iNUBC).

Iikhowudi zishicilelwe kwiKomiti yeSizwe yoTyala lokuThengisa iNational Uniform (NUBC). Khangela incwadana yangoku naluphi na utshintsho okanye uhlaziyo.

> Umthombo:

> IKomiti yeSizwe yoTywala eFanayo. Umqulu we-UB-04 weNgcaciso yeMininingwane 2016. http://www.nubc.org/subscriber/PDFs/UB042016TOC.pdf