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

Overview

Type of Bill code 0114 is a four‑digit alphanumeric code used on the UB‑04 claim form to identify a Hospital Inpatient (including Medicare Part A) bill that is an Interim – Last Claim. According to the Noridian Bill Types guide, the code structure after the leading zero is: second digit “1” = Hospital, third digit “1” = Inpatient Part A, and fourth digit “4” = Interim – Last Claim ^[1].

The fourth digit “4” (frequency) specifically means “Interim – Last Claim” ^[1]. The MassHealth UB‑04 guide confirms that acute inpatient hospitals must use the UB‑04 form for paper claims, but does not define specific bill types; the Noridian source is the authoritative reference for code meaning ^[2].

When to Use

The code is not appropriate for a single bill that covers the entire stay from admission through discharge – that would use frequency “1” (0111 – Admit Through Discharge). It is also not for late charges (frequency “5”) or replacement/void claims (frequencies “7” or “8”). Interim billing is common in long inpatient stays where the hospital needs to receive periodic payments. ^[1].

Step‑by‑Step Claim Example

Scenario: A patient is admitted to a general acute hospital on January 1 and discharged on January 30. The hospital bills in three parts:

1. Interim – First Claim (0112) submitted on January 15 for charges from admission to January 14.
2. Interim – Continuing Claims (0113) submitted on January 25 for charges from January 15 to January 24.
3. Interim – Last Claim (0114) submitted on February 1 for charges from January 25 to January 30 (discharge).

On the UB‑04 form:

• Field 4 (Type of Bill): Enter “0114”.
• Other fields (e.g., patient demographics, admission date, discharge date, revenue codes, charges) are completed normally. The statement covers period (field 6) should reflect the final service dates.
• The provider must ensure that the total charges on this last claim, when combined with prior interim claims, equal the full inpatient charges for the stay.

This example follows the frequency definitions from Noridian: “4 – Interim – Last Claim” ^[1].

Common Mistakes & Audit Red Flags

• Using 0114 when the patient has not been discharged. The “Last Claim” frequency implies the inpatient episode is complete. Submitting it prematurely can trigger denials or payment delays.
• Confusing with 0111 (Admit Through Discharge). Code 0111 is for a single bill covering the entire stay; 0114 is only for the final installment of an interim billing series. Using the wrong frequency may result in incorrect payment or rejection.
• Omitting prior interim claims. If a hospital uses 0114 without having submitted 0112 and/or 0113, Medicare and other payers may reject the claim because the episode sequence is broken. Auditors look for consistent interim claim patterns.
• Billing late charges only (frequency “5”) as an interim last claim. Late charges require code 0115, not 0114.
• Exceeding typical interim billing limits. Payers may set maximum numbers of interim claims; providers should verify payer policy before using multiple 0113 claims.

All these points are derived from the Noridian Bill Types frequency definitions and the distinction between frequencies “1”, “2”, “3”, “4”, and “5” ^[1].

Related Codes/Fields

Code	Meaning	Frequency (4th Digit)	Source
0111	Hospital Inpatient (including Medicare Part A) – Admit Through Discharge	1	[1]
0112	Hospital Inpatient (including Medicare Part A) – Interim – First Claim	2	[1]
0113	Hospital Inpatient (including Medicare Part A) – Interim – Continuing Claims	3	[1]
0114	Hospital Inpatient (including Medicare Part A) – Interim – Last Claim	4	[1]
0115	Hospital Inpatient (including Medicare Part A) – Late Charge Only	5	[1]
011X	Hospital Inpatient (other frequencies; e.g., 7=Replacement, 8=Void)	7, 8, etc.	[1]

All frequencies and their meanings are defined in the Noridian Bill Types guide. Providers should select the correct frequency based on the billing stage of the inpatient stay ^[1].

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References

[1] Noridian Bill Types — https://med.noridianmedicare.com/web/jea/topics/claim-submission/bill-types

[2] MassHealth UB-04 Guide — https://www.mass.gov/doc/ub-04-billing-guide-0/download