On an institutional claim, a 4-digit code in box 4 identifies the type of facility and type of care, and the frequency code is generated based on parameters set under the office settings and attached to a patient's claim.
Facility Level
To set the information for the facility:
Navigate to Account > Office > Edit > Billing > Institutional Billing
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- Information that claims/visits specific can be entered on the appointment level. The options are available to set at a facility level to increase efficiency. Any information loaded at the claim level will override what is entered at a facility level.
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- First digit - Leading zero that is ignored by some payers
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Second digit - Type of Facility
- 1- Hospital
- 2- Skilled Nursing Facility
- 3- Home Health
- 4- Christian Science (Hospital)
- 5- Christian Science (Extended Care)
- 6- Intermediate Care
- 7- Clinic
- 8- Special Facility
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Second digit - Type of Facility
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Third digit - Type of Care
- 1- Including Medicare Part A
- 2- Medicare Part B Only
- 3- Outpatient
- 4- Other
- 5- Intermediate Care - Level I
- 6- Intermediate Care - Level II
- 7- Intermediate Care - Level III
- 8- Swing Bed
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Third digit - Type of Care
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Fourth digit - Sequence of this bill in the sequence of care (aka frequency code)
- 0- Non-Payment/Zero Claim
- 1- Admit Through Discharge Date
- 2- First Interim Claim
- 3- Continuing Interim Claim
- 4- Last Interim Claim
- 5- Late Charge(s) Only Claim
- 6- First Interim Claim
- 7- Replacement of Prior Claim
- 8- Void/Cancel of Prior Claim
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Fourth digit - Sequence of this bill in the sequence of care (aka frequency code)
Appointment/Claim Level
To set the information on the claim level,
Navigate to Billing > Live Claims Feed > Inside patient's appointment > Right side of the screen > Info tab
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- Please note any information loaded/included at the appointment level will override what has been entered for the facility under Account > Offices
- Each drop-down will show available selections. The number that prints in box 4 on the UB04 form will populate based on the information added.