The field for Document Control Number is associated with which Form Locator?

The field for Document Control Number is associated with which Form Locator?

• A. FL64
• B. FL60
• C. FL67
• D. FL69

Answer: (A)

Document Control Number is an internal tracking identifier used by the provider to manage a specific claim. On the UB-04 form, this number is placed in Form Locator 64. Using FL64 standardizes where the DCN appears so payers and systems can quickly reference the exact claim, which helps with reconciliation, resubmissions, and audits. The DCN is distinct from patient identifiers or diagnosis codes, which reside in their own form locators, so FL64 is specifically designated for the document control number.

Document Control Number is an internal tracking identifier used by the provider to manage a specific claim. On the UB-04 form, this number is placed in Form Locator 64. Using FL64 standardizes where the DCN appears so payers and systems can quickly reference the exact claim, which helps with reconciliation, resubmissions, and audits. The DCN is distinct from patient identifiers or diagnosis codes, which reside in their own form locators, so FL64 is specifically designated for the document control number.