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Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
Edition 7ISBN: 978-1259683077Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
Edition 7ISBN: 978-1259683077 Exercise 5
Completing Claims
Based on the guidelines in Table 17.1 and the following data, complete a UB-04 for this hospitalization. Be sure to calculate the total of the charges.
Principal Dx: Single liveborn, born in hospital (Z38.00) POA: 1
Attending Provider: Thomas Wong, NPI 9100016533
Table 17.1 UB-04 Form Completion
Based on the guidelines in Table 17.1 and the following data, complete a UB-04 for this hospitalization. Be sure to calculate the total of the charges.
Principal Dx: Single liveborn, born in hospital (Z38.00) POA: 1
Attending Provider: Thomas Wong, NPI 9100016533
Table 17.1 UB-04 Form Completion
Explanation
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Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
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