Non-Covered Charges are reported in which Form Locator?

Non-Covered Charges are reported in which Form Locator?

• A. Form Locator 38
• B. Form Locator 43
• C. Form Locator 44
• D. Form Locator 48

Answer: (D)

Non-covered charges are reported in Form Locator 48. This field is specifically used to capture amounts that are part of a hospital or provider’s charges but are not covered by the payer (insurer) under the patient’s plan, meaning they become the patient’s responsibility. Recording non-covered charges separately helps correctly bill the patient and track what portion of the charges isn’t paid by insurance or other programs, while keeping the remaining data organized for processing by primary or secondary payers. The other form locators on the UB-04 correspond to different data elements (such as other charge categories, dates, payer information, or payment amounts), so they are not used for reporting non-covered charges.

Non-covered charges are reported in Form Locator 48. This field is specifically used to capture amounts that are part of a hospital or provider’s charges but are not covered by the payer (insurer) under the patient’s plan, meaning they become the patient’s responsibility. Recording non-covered charges separately helps correctly bill the patient and track what portion of the charges isn’t paid by insurance or other programs, while keeping the remaining data organized for processing by primary or secondary payers. The other form locators on the UB-04 correspond to different data elements (such as other charge categories, dates, payer information, or payment amounts), so they are not used for reporting non-covered charges.