UB04 Reference

UB04 Type of Bill Code 0112: Hospital Inpatient (Including Medicare Part A) - Interim - First Claim

Introduction

Type of Bill Code 0112 identifies a Hospital Inpatient (Including Medicare Part A) - Interim - First Claim. This code is reported in Field 4: Type of Bill.

Usage

This code is used by acute care hospitals for an inpatient stay that is expected to be long-term, requiring the submission of multiple claims over the course of treatment. It specifically denotes the very first billing segment in a series of interim claims for a patient who has not yet been discharged.

Billing Impact

The use of this code allows the facility to receive partial payment for services rendered to date, though final DRG reconciliation typically occurs upon the submission of the final claim in the series.

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