The fields on the UB claim form are called Field Locators (FL). Shaded boxes are fields DMAP uses to process your claim; your claim may suspend or deny if information in this box is missing or incomplete.
Instructions and guideline for CMS 1500 claim form and UB 04 form. Tips and updates. Detailed review of all the fields and box in CMS 1500 claim form and UB 04 form and ADA form. HCFA 1500 and UB 92 form instruction.
Pages
- Home
- CMS 1500 claim form - How to fill out correctly - Instruction
- Referring provider, Ordering provider and billing provider - CMS 1500 & UB04 form FAQ
- Medicare provider Enrollment question and answer part 1
- Medicare Enrollment - question and answer part 2
- Complete claim submission - some tips
- Medicare Deductible FAQ
- Secondary claim submission CMS 1500 requirements
- UB 04 - Complete instruction to fill the form
Saturday, October 2, 2010
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