Chapter 3 Review Blitz

[CCO_Admin]

Christina Pitzer asked:

These two questions seem quite similar. Can someone please explain the difference ?



Q22) On form locator 10 on an UB-04 claim form; what information is required?

A. Federal Tax number of facility(Your Answer)(Incorrect)

B. Patients street address

C. Patients sex

D. Patients birthdate(missed)

Explanation:Form locator 10 on an UB-04 claim form requires the patients date of birth in MMDDCCYY format.

Q25) Form locator 10 on a UB-04 claim is for:

A. Patient birthdate in MMDDYY format(Your Answer)(Incorrect)

B. Federal tax # for your facility

C. Patient name in Last; First; MI format(missed)

D. None of these above

Explanation:Form locator 10 on a UB-04 claim is for the patients date of birth in MMDDCCYY format.

Answer:

Both of the answers should be birthdate. We will go in and check to see why that is saying on #25 the answer is wrong.