Which Form Locator is Assignment of Benefit Certification?

Which Form Locator is Assignment of Benefit Certification?

• A. Form Locator 50 - Payer Identification
• B. Form Locator 52 - Release of Info Certification
• C. Form Locator 54 - Prior Payments
• D. Form Locator 53 - Assignment of Benefit Certification

Answer: (D)

Assignment of Benefits Certification is the data field on the UB-04 form that records the patient’s authorization to assign benefits to the provider and to have the insurer pay the provider directly. This authorization streamlines payment, allowing the facility to receive the payment from the payer and reducing the need for the patient to handle reimbursements. The other fields serve different purposes: Payer Identification identifies who is being billed, Release of Information Certification covers consent to release medical information to the payer, and Prior Payments shows any payments already made. The Assignment of Benefits field specifically documents the authorization for payment to go to the provider, which is why it is the correct form locator for Assignment of Benefit Certification.

Assignment of Benefits Certification is the data field on the UB-04 form that records the patient’s authorization to assign benefits to the provider and to have the insurer pay the provider directly. This authorization streamlines payment, allowing the facility to receive the payment from the payer and reducing the need for the patient to handle reimbursements. The other fields serve different purposes: Payer Identification identifies who is being billed, Release of Information Certification covers consent to release medical information to the payer, and Prior Payments shows any payments already made. The Assignment of Benefits field specifically documents the authorization for payment to go to the provider, which is why it is the correct form locator for Assignment of Benefit Certification.