UB04 Billing Instructions Guide - Maine
Jun 08, 2020 · Please see the National UB-04 manual for the full list of specific codes. FL 29: ACDT STATE. Figure 3 15: FL29 ACDT State. Situational. If Occurrence Codes 01-05 are used in Field Locators 31-34 enter the two-character Accident State. FL 30: RESERVED FOR ASSIGNMENT BY THE NUBC. Not Labeled on UB. Not Used. FL 31 – 34: OCCURRENCE CODES AND DATES ................
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