The field for the Insured's Group Name corresponds to which Form Locator?

The field for the Insured's Group Name corresponds to which Form Locator?

• A. FL60
• B. FL61
• C. FL64
• D. FL69

Answer: (B)

Form Locators designate the specific data field on the UB-04 claim form. The Insured's Group Name is assigned to Form Locator 61, which is the designated location for the group policy name under which the insured is covered. This helps payers quickly identify the employer or group plan involved and coordinate benefits. The other nearby fields in this insured-information area hold different data, but the group name itself is specifically mapped to 61.

Form Locators designate the specific data field on the UB-04 claim form. The Insured's Group Name is assigned to Form Locator 61, which is the designated location for the group policy name under which the insured is covered. This helps payers quickly identify the employer or group plan involved and coordinate benefits. The other nearby fields in this insured-information area hold different data, but the group name itself is specifically mapped to 61.