Which Form Locator includes 1G as the ID qualifier?

Which Form Locator includes 1G as the ID qualifier?

• A. Form Locator 70
• B. Form Locator 76
• C. Form Locator 77
• D. Form Locator 80

Answer: (B)

In UB-04, ID qualifiers tell what type of identification follows and are placed with the corresponding ID value in a specific form locator. The qualifier code 1G is the one designated for the field in Form Locator 76. That locator is the one that captures the ID qualifier and the associated ID for the subscriber/insured data, so 1G appears there. The other form locators serve different data elements and do not use this qualifier, so they wouldn’t contain 1G. Knowing that, Form Locator 76 is the correct place for the 1G ID qualifier.

In UB-04, ID qualifiers tell what type of identification follows and are placed with the corresponding ID value in a specific form locator. The qualifier code 1G is the one designated for the field in Form Locator 76. That locator is the one that captures the ID qualifier and the associated ID for the subscriber/insured data, so 1G appears there. The other form locators serve different data elements and do not use this qualifier, so they wouldn’t contain 1G. Knowing that, Form Locator 76 is the correct place for the 1G ID qualifier.