UB04 Billing Instructions Guide - Maine

Feb 25, 2021 · Advanced Practice Registered Nurse Group 14, 96 Yes √ Advanced Practice Registered Nurse 13, 14, 96 No √ Alternative Residential Facility 2 No √ Ambulance. Note: Hospital owned Ambulance services should be billed on the UB form. 5, 113 No √ Assisted Living Service Provider 96 No √ Audiology (Group) 35, 109 Yes √ ................
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