UB04 Billing Instructions Guide - Maine

Jun 08, 2020 · Outpatient claims should not be billed with dates of service that span the 10/01/2015 cutover date. FL 74 a-e: OTHER PROCEDURE, CODE and DATE. Situational (Required if Hospital-Inpatient with procedures) Required on inpatient claims when a procedure was performed. If not required (for example, on outpatient claims, do not send). ................
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