UB04 Billing Instructions Guide - Maine

To bill for services not covered by Medicare, use the occurrence span code 74 with the occurrence span dates which encompass the to and from dates of service being billed on the claim. The span code 74 indicates Medicare will not pay for the level of care needed for the member. FL 37: RESERVED FOR ASSIGNMENT BY THE NUBC. Not Labeled on UB. Not Used ................
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