Which Form Locator is marked Not Applicable (N/A) on the UB-04 form?

Which Form Locator is marked Not Applicable (N/A) on the UB-04 form?

• A. FL 6
• B. FL 9
• C. FL 11
• D. FL 7

Answer: (D)

Form Locators on the UB-04 identify specific data elements, and not every field is required for every claim. When a data element isn’t relevant to a particular bill, it is marked Not Applicable to show there’s no data to report for that field. The locator in question is the field that records the end date of the period covered by the claim. In many inpatient hospital claims, the service period is already defined by the admission date and discharge dates, so there isn’t a separate “end date” to report for the period. In those cases, this field isn’t needed and is marked N/A. That’s why this locator is the one identified as Not Applicable.

Form Locators on the UB-04 identify specific data elements, and not every field is required for every claim. When a data element isn’t relevant to a particular bill, it is marked Not Applicable to show there’s no data to report for that field.

The locator in question is the field that records the end date of the period covered by the claim. In many inpatient hospital claims, the service period is already defined by the admission date and discharge dates, so there isn’t a separate “end date” to report for the period. In those cases, this field isn’t needed and is marked N/A. That’s why this locator is the one identified as Not Applicable.