UB04 Type of Bill Code 0114: Hospital Inpatient (Including Medicare Part A) - Interim - Last Claim

Introduction

Type of Bill 0114 represents a Hospital Inpatient (Including Medicare Part A) - Interim - Last Claim. This code is reported in Field 4: Type of Bill to indicate the final submission in a series of sequential billings for a single inpatient stay.

Usage

This code is utilized by acute care hospitals when a patient has had an extended stay requiring multiple interim bills. It signifies that the patient has been discharged or the treatment episode has concluded, marking this as the final claim to be processed for the encounter.

Billing Impact

The submission of this code triggers the final reconciliation of the claim series, allowing the payer to calculate the total DRG payment or final reimbursement while closing the open billing cycle for that specific admission.