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UB-04: What is meant by 'service location?'

Patient Financial Services Weekly Advisor, March 19, 2007

Q: I've heard that "FL1" must be completed with the service location of the provider. For the UB-92, the prior field was for the "provider submitting the bill." Can you please explain more about what aas meant by "service location?"

For example, if the main hospital campus has one address such as 123 Main Street with EIN 12-345678 and this hospital has a provider based clinic or diagnostic center located at another address, 4567 Main Street, with EIN 12-345678, what address would be used in "FL1" for the provider-based claim, the physical practice location or the address of the main hospital campus/provider?

A: The NUBC changed the description in "FL1" to coincide with the electronic standard-namely service location. For the most part, providers should continue with the way they are submitting claims today to their health plans. A campus facility that has multiple buildings within the campus area will likely use one location to represent their service location. As these providers look to transition to an NPI they may choose to enumerate some of these different areas within the campus separately-in this case the ones with different NPIs would bill separately-generally by service location.

Editor's note: George Arges, senior director of the American Hospital Association, answered this question.

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