UB04 Billing Instructions Guide - Maine

Feb 25, 2021 · Inpatient and Outpatient Hospital claims may overlap months. All other providers must bill no more than one calendar month on a claim form. FROM. Enter the date that services on this claim began. THROUGH. Enter the date that services on this claim ended, including the discharge date, if applicable. FL 7: RESERVED FOR ASSIGNMENT BY THE NUBC. Not ... ................
................