UB04 Type of Bill Code 0137: Hospital Outpatient - Replacement of Prior Claim

Introduction

Type of Bill Code 0137 represents a Hospital Outpatient claim submitted as a replacement of a prior claim. This code is reported in Field 4: Type of Bill.

Usage

This code is utilized by hospital outpatient departments when a previously submitted and processed claim needs to be fully corrected and resubmitted. It signals to the payer that the current submission should void and replace the original claim in its entirety to correct errors in coding, units, or patient information.

Billing Impact

Using this code prevents duplicate claim denials by linking the new submission to the original internal control number, ensuring proper reconciliation of outpatient payments.