WebDescription: Identifies the first date of onset of illness, the actual date of injury, or the LMP for pregnancy. Enter the 6-digit (MM│DD│YY) or 8-digit (MM│DD│YYYY) date of the … WebJul 9, 2024 · Form locator 18-28: Condition codes using the two-digit codes from the NUBC manual for up to 11 occurrences. Form locator 29: Accident state (if applicable) using two-digit state code Form locator 30: Accident date Form locator 31-34: Occurrence codes and dates using the NUBC manual for codes
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WebMay 6, 2016 · Here's a quick rundown: Place of occurrence codes are found in category Y92 of the manual. These identify the location of the patient at the time of injury. Activity codes are found in category Y93. They are used to describe the patient's activity at the time of the injury. External cause status codes are found in category Y99. WebJul 13, 2016 · The most commonly recognized Occurrence Codes by BCBSTX are listed below: Occurrence Code Definition 01 Auto Accident 04 Accident – Employment … cra redlining definition
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WebEnter the value code (61) followed by the four-digit MSA code. These fields correspond to blocks 39 through 41 on the UB04 claim form. Occurrence span codes and dates Enter the code(s) and the related date(s) that identify an event that relates to the payment of the claim. These f ields correspond to blocks 35 through 36 on the UB04 claim form. WebDec 22, 2024 · Occurrence code 04 with date of accident or injury; If claim is not related to open Workers' Compensation file, resubmit claim including detailed remarks explaining … Webexternal cause of injury (eci) code 72 a, b, c federal tax number 05 ... occurrence codes and dates 31 - 34, a& b ... revenue codes 42 revenue description 43 service date 45 service units 46 source of referral for admission or visit 15 statement covers period - from/through 06 diy tabletop curling game