UB04 Billing Instructions Guide - Maine

Jun 08, 2020 · Figure 3 4: FL 4 Type of Bill. Required. Please use the National UB-04 manual for specific codes. Enter the four-digit code from the National UB-04 manual for the provider type that indicates the type of bill using the following guidance by Provider Type. Hospitals must use appropriate TOB when billing for serious reportable events. Table 2 ... ................
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