The date of service is captured in which Form Locator?

The date of service is captured in which Form Locator?

• A. Form Locator 38
• B. Form Locator 46
• C. Form Locator 42
• D. Form Locator 45

Answer: (D)

Dates of service are entered in the Form Locator that is specifically designated for the service date on the UB-04. This locator is the field used to record the actual date the service was provided, which is essential for billing and payer processing. Other Form Locators on the UB-04 hold different data—such as patient details, admission/discharge information, diagnoses, and procedures—so they are not used for capturing the date of service. Therefore, the locator tied to service dates is the correct choice for this item.

Dates of service are entered in the Form Locator that is specifically designated for the service date on the UB-04. This locator is the field used to record the actual date the service was provided, which is essential for billing and payer processing. Other Form Locators on the UB-04 hold different data—such as patient details, admission/discharge information, diagnoses, and procedures—so they are not used for capturing the date of service. Therefore, the locator tied to service dates is the correct choice for this item.