The form section for the Responsible Party Name and Address is located at which Form Locator?

The form section for the Responsible Party Name and Address is located at which Form Locator?

• A. Form Locator 49
• B. Form Locator 42
• C. Form Locator 38
• D. Form Locator 46

Answer: (C)

Form Locators tell you exactly where on the UB-04 to put each data item. The Responsible Party Name and Address identifies who is financially responsible for the bill, so it is assigned to a specific locator on the form. On UB-04, that information is entered in the space for Form Locator 38. This placement ensures the payer can correctly identify the party responsible for payment and contact them if needed. Other locator numbers are used for different data elements, so they don’t apply to the responsible-party information.

Form Locators tell you exactly where on the UB-04 to put each data item. The Responsible Party Name and Address identifies who is financially responsible for the bill, so it is assigned to a specific locator on the form. On UB-04, that information is entered in the space for Form Locator 38. This placement ensures the payer can correctly identify the party responsible for payment and contact them if needed. Other locator numbers are used for different data elements, so they don’t apply to the responsible-party information.