UB-04 Completion: Inpatient Services (ub comp ip)

Advices (RAs). Enter the patient’s financial record number or account number in this field. A maximum of 20 numbers and/or letters may be used, but only 10 characters will appear . on the RA. Refer to the Remittance Advice Details (RAD) Examples: Inpatient Services section in this manual for patient control number information. 3B. ................
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