UB04 SPOUSE CODE


AARP health insurance plans (PDF download)

Medicare replacement (PDF download)

medicare benefits (PDF download)

medicare part b (PDF download)


UB04 SPOUSE CODE

PDF download:

Transition to New Medicare Numbers and Cards – CMS.gov

Numbers (SSNs) from all Medicare cards by April 2019. ….. AHA copyrighted
materials including the UB-04 codes and descriptions may not be removed,
copied, …

Medicare Secondary Payer – CMS.gov

ICN 006903 January 2019 … AHA copyrighted materials including the UB-04
codes and descriptions may not be removed, …. “Spouse,” under the MSP
Working.

UB04 Hospital Billing Instructions & Revenue Code Matrix

Jun 7, 2019 … UB04 Hospital Instructions … UB04 REVENUE CODE MATRIX …. June 7, 2019
Updates: Added clarifying guidance regarding Frequency 5 – Late Charges
Discountinued, …… questions, the patient and spouse have denied.

Health Insurance Plan (HIP/HMO) – OPM

Enrollment codes for this Plan: 511 High Option … This Plan has added a
Standard Option offering for 2019. See pages 27 through 70. This brochure was
updated on 02/26/2019. RI 73-001 …… ordered your former spouse to provide
health coverage for you. However, you may be …… Your facility will file the UB-04
form. For.

Medi-Cal Provider Training 2019: Billing basics (bb_2019) – State of …

Dec 4, 2018 … January 2019. E. UB-04 Claim Form … UB-04 Claim Form Completion Guidelines
. …. Children eligible for CCS will be identified by aid codes unique to the CCS
program. ….. Children and spouses within the same family may.

UnitedHealthcare Insurance Company, Inc. – OPM

2019. Choice Open Access – Health Maintenance Organization. IMPORTANT. •
Rates: … Enrollment codes in AZ (Phoenix and Tucson), CO,. NV, OR and WA.

Appendix for SEER-Medicare 10/2018 Claims Files – Healthcare …

… 10/2018 Claims Files. February 22, 2019 … B1 = Aged husband, age 62 or
over (1st claimant) …… reporting — This code is equivalent to a blank on the UB-
04,.

ASTC/ODC Data System User Manual (November 2018) – TN.gov

The Department of Health has been collecting information from UB-04 billing
claims on all outpatient …. submit NPI with starting first quarter 2019. However,
they …… Valid Value Code. Type. Description. 1. Self. Self-explanatory. 2. Spouse
.

AHCCCS Covered Behavioral Health Services Guide

service and be billed using the appropriate billing code. These individual … these
codes covered by AHCCCS BEHAVIORAL HEALTH SERVICES should be
referenced in ….. UB04 Revenue Codes ….. Under no circumstances may the
spouse.

general information – ND.gov

Jan 1, 2019 … United States Code governing the Medicaid program; …… Effective July 1, 2019
ND Medicaid will no longer accept the ND-specific form (SFN ….. Ambulance
services are not payable to hospitals on UB-04 form and must be …… The cost of
travel provided by a parent, spouse, or any other member of the …

Alabama Medicaid Agency – Alabamaservices.org

Oct 1, 2013 … January 2019 …. procedure code requires prior authorization. Refer to the
Alabama ….. partner ID, please complete the trading partner ID request form,
which can be obtained …… 276 UB-04/CMS-1450/CMS-1500 claim form.

West Virginia Medicaid Provider Newsletter Health Homes III …

Apr 23, 2018 … example, HCPCS Code A0422 Ambulance (als or bls) oxygen and oxygen
supplies now has an … Federal Medical Assistance Percentage for FFYs 2018
and 2019, … Spouses and dependents, who in the past may have had similar ….
Facilities and Institutional Providers billing on a UB04 Claim form:.

Kaiser Permanente NW CDHP (2019) – Washington State Health …

This Certificate of Coverage is effective January 1, 2019 through December 31,
2019 …… established CPT or HCPCS code indicating the Medicare fee for a
particular ….. Spouse. The person to whom you are legally married under
applicable law. ….. Kaiser accepts CMS 1500 claim forms for professional
Services and UB-04 …

Resident Data Reporting Manual – Pennsylvania Department of …

Oct 1, 2018 … assessments, HIPPS codes and the UB-04 billing document. …. Support person(s
) can be a spouse, one or more family members, significant …

Code of State Regulations – Missouri Secretary of State – MO.gov

Mar 31, 2019 … Code of Federal Regulations (42 CFR …. a partnership, a partner; for a sole
proprietor- …… mitted as a Medicare UB-04 Part C Institu- …… 2019. *Original
authority: 208.153, RSMo 1967, amended. 1967, 1973, 1989, 1990, …

Employee Benefit Guide – City of Hialeah

2019 Employee Benefits …. your spouse as well as family, if appropriate. … For
2019 it is not necessary for you to prove the eligibility of your dependents if …… of
service, charge, procedure code, diagnosis code, name and NPI number of the …
A uniform itemized hospital bill (Form UB-04) must be submitted for inpatient and
 …

Colorado Community Health Alliance – Colorado.gov

Jan 15, 2019 … and Cover Page for this Amendment or January 1, 2019, whichever is later, …..
Colorado Revised Statutes (C.R.S.) – The legal codes of Colorado; the …. entity
that is organized as a corporation; or is a partner in an entity that …… other
ancillary services, when the procedure(s) are billed on a UB-04 and ANSI.

NC Medicaid: 3K-2, Community Alternatives Program for … – NC.gov

Mar 15, 2019 … services available on or after November 1, 2019, please contact your PHP. Table
of …… D. Location and condition of spouse; ….. The Community Alternatives
Program (CAP) evidence code has not been …… (CPT), Health Care Procedure
Coding System (HCPCS), and UB-04 Data Specifications Manual.



AARP health insurance plans (PDF download)

Medicare replacement (PDF download)

medicare benefits (PDF download)

medicare part b (PDF download)





  • * spouse relationship code
  • * when the patient relationship to the subscriber is spouse, what code is entered on the ub-04 in field 59
  • * spouse relationship code ub 04
  • * spouse heath coverage-opers
  • * spouse code on ub
  • * prefix for medicare covered under spouse
  • * patient relationship code for spouse
  • * msp file shows spouse working
  • * medicare for widowed spouse
  • * box 59 spouse