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UB04 Boxes 18-28 - What is a condition code and how do I enter them on an institutional claim?

Created On: 04/20/2022 in Billing Claims Institutional Claims Adding elements on the UB04 form

Condition codes are 2-digit numerical or alphanumeric representations of aspects of a patient, services provided, the type of service venue, and/or billing situations that can impact a payer's processing of an institutional claim. These codes ar...
UB04 Box 17 - How to add a patient's discharge status to an institutional claim

Created On: 04/20/2022 in Billing Claims Institutional Claims Adding elements on the UB04 form

DrChrono makes it simple to add the patient's discharge status to their institutional claim which will be printed in box 17 on the UB04 institutional claim form and transmitted on the EDI file. Navigate to Billing > Live Claims Feed > Insi...
UB04 Box 16 - How to add a discharge hour to an institutional claim

Created On: 04/20/2022 in Billing Claims Institutional Claims Adding elements on the UB04 form

DrChrono makes it easy to add the discharge hour to your patient's claim. It can be done right within the patient's encounter. Navigate to Billing > Live Claims Feed > Inside the patient's appointment > Right column > Info tab ...
Eligibility Checks in the Appointment Window vs. the Patient's Chart

Created On: 04/19/2022 in Billing Billing Workflow RTE: Real Time Eligibility

You can run insurance eligibility in a few places in DrChrono, the appointment window, the patient's chart, and the eligibility dashboard. Any location will pull the insurance information for the patient that is made available by their insu...
UB04 Box 15 - What is a Point of Origin Code and how do I include it on an institutional claim?

Created On: 04/19/2022 in Billing Claims Institutional Claims Adding elements on the UB04 form

A point of origin code discloses to the payer the source or method of the patient's referral for admission. The point of origin code is similar to a "place of service" code on a professional claim/HCFA-1500 form. To add it to an institutiona...
UB04 Box 14 - How to add type of admission to an institutional claim

Created On: 04/19/2022 in Billing Claims Institutional Claims Adding elements on the UB04 form

Box 14 of the UB04 institutional claim form requires a description of the patient's type of admission. You can quickly add this information via the patient's encounter under your Live Claims Feed. Navigate to Billing > Live Claims Feed ...
UB04 Boxes 12-13 - Adding an admission date and hour to an institutional claim form

Created On: 04/19/2022 in Billing Claims Institutional Claims Adding elements on the UB04 form

DrChrono makes it easy to add an admission date and hour to your patient's claim. It can be done right within the patient's encounter. Navigate to Billing > Live Claims Feed > Inside the patient's appointment > Right column > Info tab ...
UB04 Box 6 - Start/End Care Dates on an institutional claim

Created On: 04/19/2022 in Billing Claims Institutional Claims Adding elements on the UB04 form

When billing institutional care, the start/end dates of care included on that billing statement must appear in box 6 of the UB04 claim form. In DrChrono, it is easy to enter/update this information from within the patient claim in the Live Claim...
UB04 Box 4 - Type of Bill on an institutional claim

Created On: 04/19/2022 in Billing Claims Institutional Claims Adding elements on the UB04 form

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 ...
UB04 Box 26 - Utilizing a claim ID from a claim form

Created On: 04/19/2022 in Billing Claims Institutional Claims Adding elements on the UB04 form

Each patient appointment within DrChrono will be assigned a unique claim ID number automatically. This number will be transmitted to the payer with each submitted claim. On the HCFA-1500 form , it will print in box 26 under the label "Pati...