Which Form Locator captures the Patient Address on the UB-04 form?

Which Form Locator captures the Patient Address on the UB-04 form?

• A. FL 5
• B. FL 9
• C. FL 12
• D. FL 11

Answer: (B)

On the UB-04, each data element has a designated Form Locator, and the Patient Address is entered in Form Locator 9. This field collects the patient’s street address along with city, state, and ZIP code as part of the patient demographics. It’s used to verify demographics and support proper mailing and claim processing. The other Form Locators correspond to different data elements, so they wouldn’t capture the patient’s address, making Form Locator 9 the correct placement.

On the UB-04, each data element has a designated Form Locator, and the Patient Address is entered in Form Locator 9. This field collects the patient’s street address along with city, state, and ZIP code as part of the patient demographics. It’s used to verify demographics and support proper mailing and claim processing. The other Form Locators correspond to different data elements, so they wouldn’t capture the patient’s address, making Form Locator 9 the correct placement.