UB04 Billing Instructions Guide - Maine

Feb 25, 2021 · Enter the date this episode of care began if the provider type is: Home Health – TOB 032x, 033x & 034x. The format for the date is six digits (MMDDYY). Do not use commas, dashes, or slashes in the date. If the admission date is later than the FROM date in FL 6, the claim will deny for invalid dates billed. FL 13: ADMISSION HR ................
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