Patient Information is found in which Form Locator range?

Patient Information is found in which Form Locator range?

• A. FL 1-7
• B. FL 50-65
• C. FL 66-81
• D. FL 8-38

Answer: (D)

On the UB-04, Form Locators are grouped by data type, with patient demographics and basic admission details placed together in the early to mid portion of the form. The block that collects Patient Information spans FL 8 through FL 38, providing fields for the patient’s name, address, date of birth, sex, and other demographic and admission details in one continuous range. That’s why this range is the correct place for Patient Information. The higher-numbered ranges cover other areas of the claim, such as diagnoses, procedures, and payer specifics, which is why they aren’t used for the basic patient demographic data.

On the UB-04, Form Locators are grouped by data type, with patient demographics and basic admission details placed together in the early to mid portion of the form. The block that collects Patient Information spans FL 8 through FL 38, providing fields for the patient’s name, address, date of birth, sex, and other demographic and admission details in one continuous range. That’s why this range is the correct place for Patient Information. The higher-numbered ranges cover other areas of the claim, such as diagnoses, procedures, and payer specifics, which is why they aren’t used for the basic patient demographic data.