UB04 Billing Instructions Guide - Maine
Feb 25, 2021 · TAX NO. Figure 3 5: FL 5 Federal Tax Number. Required. Enter the provider’s Federal Tax Number (Employer Identification Number/EIN). This number is required for Federal income tax purposes. As with other FLs on the UB, the Federal Tax number goes in the empty box just below the box labeled 5 FED TAX NO. ................
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