UB04 Box 4 - Type of Bill on an institutional claim

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:

  1.  Navigate to Account > Office > Edit > Billing > Institutional Billing

    • 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.




    • First digit - Leading zero that is ignored by some payers
    • 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
    • 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
    • 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



Appointment/Claim Level


To set the information on the claim level,

  1. Navigate to Billing > Live Claims Feed > Inside patient's appointment > Right side of the screen > Info tab


    • 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.