Ub-04 Basics Assessment

10 Questions | Attempts: 519

Ub-04 Basics  Assessment - Quiz

This quiz is a short clarity check on the content learned in the UB-04 Basics Training course for both new hires and those who participate in a refresher.

Questions and Answers
  • 1. 
    What does the "B" in UB-04 stand for?
  • 2. 
    What order are the sections of a UB-04 displayed?
    • A. 

      Payer/Provider, Billing, Patient, Diagnostics

    • B. 

      Patient/Provider, Billing, Payer, Diagnostics

    • C. 

      Patient/Payer, Billing, Provider, Diagnostics

    • D. 

      Patient/Provider. Billing, Diagnostics, Payer

  • 3. 
    The "Type of Bill" or Bill Type is found in field locator 4.  Not including the leading zeros, what do the three digits represent? Structure your answer like this: ___________, ___________, ___________
  • 4. 
    What charge is required on an IP claim?
    • A. 

      Treatment Room Charge

    • B. 

      IP Room Charge

    • C. 

      Admit Room Charge

    • D. 

      Any Room Charge

  • 5. 
    What is the number of the field locator where revenue codes are listed?
    • A. 


    • B. 


    • C. 


    • D. 


  • 6. 
    What is the purpose of the occurrence codes? (Select all that apply)
    • A. 

      Patient co-pay

    • B. 

      Significant events affecting claim processing

    • C. 

      Identify conditions

    • D. 

      Medicare as secondary

    • E. 

      Incidents or procedures affecting claim processing

    • F. 

      Date therapy started

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