UB04 Billing Instructions Guide - Maine

Feb 25, 2021 · FL 6: STATEMENT COVERS PERIOD. Figure 3 6: FL 6 Statement Covers Period. Required. If all services were provided on a single day, enter that date in both the FROM and THROUGH fields. The date format is six digits: MMDDYY. Do not use commas, dashes, or slashes in the date. Inpatient and Outpatient Hospital claims may overlap months. ................
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