Ƙaddara irin Dokar Lambobin
Nau'in lambobin lissafin lambobin lambobi uku ne a kan takardar shaidar UB-04 wanda ya bayyana nau'in lissafi da mai badawa yana mikawa ga mai biya, kamar Medicaid ko kamfanin inshora. Ana buƙatar wannan lambar a layi na 4 na UB-04.
Kowace lambar tana da dalili kuma ana buƙata a duk ƙwaƙwalwar UB-04 a cikin mai samo wuri 4. Bari mu bincika wasu misalai na lambobin lissafin kuma sai ku dubi abin da kowane lambar yake nufi da kuma abin da lambobi suke kama da su.
Ana wallafa lambobin a cikin Dokar Bayar da Lissafin Jakadancin Ƙasa (NUBC). Bincika littafin yanzu don kowane canje-canje ko sake dubawa.
Misalan Nau'in Jari
Anan akwai misalai na iri lambobin lissafin da abin da suke nufi.
- Kayan Bill 111 yana wakiltar Asibiti na Inpatient Claim wanda ya nuna cewa lokacin da ake da'awar yana shigar da shigar ta hanyar karuwar mutum.
- Nau'in Bill 117 yana wakiltar wani Mafitar Inpatient Infecting or Corrected da'awar zuwa wani asibiti da aka riga ya gabatar da asibitocin da ya biya domin mai biya ya biya da'awar.
- Irin Bill 138 yana wakiltar wani asibiti mai kula da asibiti ko Cancel of Prior Priority zuwa wani asibiti da aka ƙaddamar a asibiti wanda ya biya domin mai biya ya sake biyan kuɗin da aka yi.
- Irin Bill 831 yana wakiltar Harkokin Gizon Asibiti a Ofishin Jakadanci a cikin Cibiyar Cibiyar Ma'aikata. Domin aikin tiyata da aka yi a asibitin, irin lissafin zai zama 131 a maimakon 831.
Na farko Digit na Bill Type Code-Facility Type
Lambar farko tana nufin irin makaman.
1 - Asibitin
2 - Nursing Skills
3 - Kiwon lafiya na gida
4 - Cibiyoyin Kiwon Lafiyar Lafiya ta Addini (Asibitin)
5 - Shirin Kula da Kiwon Lafiyar Addini (Kulayar Kulawa)
7 - Clinic
8 - Gudanarwa na musamman, Asibiti ASC Surgery
Na biyu Digit na Bill Type Code
Abin da lambar na biyu ya nuna ya dogara da lambar farko. Yana da ma'anoni daban-daban don magunguna da kuma wurare na musamman.
Lambar na biyu tana nufin ladabi na lissafi sai dai ga dakunan shan magani da kuma wurare na musamman.
Idan lambar farko ita ce 1-5, to, lambar na biyu ita ce:
1 - Inpatient ( Medicare Sashe na A )
2 - Inpatient ( Medicare Sashe Na B )
3 - Outpatient
4 - Sauran (Medicare Sashe na B)
5 - Level I Intermediate Care
6 - Matsayi na Matsakaici na Mataki na II
7 - Subacute Inpatient (don amfani tare da Revenue Code 019X)
8 - Swing Bed
Don Kulawa Kawai:
Idan lambar farko ita ce 7, to, lambar na biyu ita ce:
1 - Clinical Health Clinic
2 - Gidajen Asibiti ko Gidajen Rashin Gida na Rashin Gida
3 - Cibiyar Kula da Kiwon Lafiya ta Federally (FQHC), Mai Siyarwa mai Mahimmanci
4 - Sauran Ayyuka na Gida (ORF)
5 - Gidajen Kwaskwarimar Bayar da Bayar da Bayarwa (CORF)
6 - Cibiyar Kula da Lafiya ta Jama'a (CMHC)
Ga Ayyuka Na Musamman Kawai:
Idan lambar farko ita ce 8, to, lambar na biyu ita ce:
1 - Cibiyar Harkokin Kasuwanci ba tare da jin dadi ba
2 - Makarantar Biki
3 - Ayyukan Cibiyoyin Kulawa na Ƙungiyar Kulawa da Ƙwararren Ƙwararru
4 - Sauran Ayyuka na Gida (ORF)
5 - Gidajen Kwaskwarimar Bayar da Bayar da Bayarwa (CORF)
6 - Cibiyar Kula da Lafiya ta Jama'a (CMHC)
Na uku Digit na Bill Type Code-Frequency
Lambar na uku tana nufin mita.
0 - Ba da kyauta ko ƙidaya
1 - Amincewa Ta hanyar Kayan Gida
2 - Tsaida lokaci (Farko na farko)
3 - Zamuyi (Abubuwan da ke ci gaba)
4 - Zamuyi (Karshe na Ƙarshe)
5 - Lokaci ne kawai
7 - Sauya Tsohon Bayanin Kira ko Amincewa Kayan
8 - Cire ko soke wani takaddama na farko
9 - Ƙaƙƙarrin Kayan Gida don Kiwon Lafiyar Kiwon Lafiya
Siffofin Ayyuka Ta amfani da UB-04
Abubuwan da ke amfani da takardar UB-04 sun hada da:
- Cibiyar Kiwon Lafiya ta Jama'a
- Ƙungiyar Gyara Gyara Bayarwa
- Ƙaramar Cibiyar Bincike
- Ƙungiyar Endal Stage Renal Disease Facility
- Cibiyar Kiwon Lafiya ta Federally
- Cibiyar Labaran Tarihin Tarihi
- Hukumar lafiya ta gida
- Hospice
- Asibitin
- Gidan Kula da Lafiya ta Indiya
- Organ Organ Organization
- Outpatient aikin farfasa jiki
- Ayyukan Farfesa
- Maganar Harkokin Harkokin Harkokin Kiyaye
- Ƙungiyar Kula da Kiwon Lafiyar Kiwon Lafiyar Addini
- Ciwon Kiwon Lafiya na Yamma
- Gudanar da Nursing Facility
Sharuɗɗan Shari'ar
Lokacin yin canje-canje ga biyan kuɗin da aka biya, ana iya ƙaddamar da ƙayyadadden maganganu da wayoyin lantarki.
1. Ɗaukaka Ƙaddamarwar Kira na Ƙira tare da: 7 = Sauyawa na da'awar da'awar 8 = Ƙara / soke wani da'awar da'awar
2. Sanya da'awar ta amfani da DCN (lambar kula da takardun shaida) ko ICN (lambar kulawa ta ciki) daga bayani na biyan bashin (EOP) ko sayar da wutar lantarki .
3. Idan dole ne ka bayar da martani a kan takarda, ka tabbata cewa tsari daidai ne. Wasu masu biyan kuɗi suna karɓar takardun baƙaƙen baki da launi na ƙididdiga na likita amma mafi kyau tsari shi ne sauƙaƙa da asalin ja-da-fari. Dangane da mai biyan kuɗi, idan ba a yi amfani da nau'in da'awar asali na asali ba, da'awar bazai iya dubawa a tsarin su yadda ya kamata ba don jinkirta ko ƙin biya.
Mahimman mahimman bayanai a cikin kammala wadannan ikirari sun haɗa da:
- Tabbatar cewa an haɗa shi da rubutu daidai don tabbatar da cewa an buga bayanin a wurare masu kyau.
- Kada ku haskaka duk wani bayani akan da'awar.
- Kada ka rubuta rubutun kalmomi a kan nau'i kamar "Ƙarƙashin Kira" ko "EOB Attached."
- Kada ka haɗa ginshiƙan, samfuri, kaset, bayanan kulawa, takarda takarda ko wani abu ga siffofin da'aƙan.
Lissafin Ƙasa akan Dokokin Kuɗi don Fomlar UB-04
Bayanan da ke sama ya kwatanta ainihin manufar kowane nau'in lambobi 3 a kan takarda UB-04. Wannan bayanin shine batun canzawa da sake fasalin, amma duk wani canje-canjen za'a iya samuwa a cikin Dokar Bayar da Sharuɗɗa ta Ƙungiya ta Ƙasa (NUBC).
Ana wallafa lambobin a cikin Dokar Bayar da Lissafin Jakadancin Ƙasa (NUBC). Bincika littafin yanzu don kowane canje-canje ko sake dubawa.
> Source:
> Kwamitin Shirin Bayar da Sha'idodi na kasa. Bayanai na Kamfanin UB-04 na Jami'ar 2016. Http://www.nubc.org/subscriber/PDFs/UB042016TOC.pdf