Which Form Locator is required for Patient Name on the UB-04 form?

Which Form Locator is required for Patient Name on the UB-04 form?

• A. FL 8b
• B. FL 5
• C. FL 9
• D. FL 11

Answer: (A)

Form Locators on the UB-04 map exactly where each piece of patient information goes on the claim. The patient’s name is designated in the eighth set of fields, and the specific spot used to report the actual name is the second part of that block. That’s why the correct choice is the locator labeled for the patient’s name in that area. In practice, you’ll fill that 8b field with the patient’s name in the standard format so the payer’s system can read and match the record to the patient. The other choices correspond to different data elements on the form, not the patient’s name, so they aren’t used for this purpose.

Form Locators on the UB-04 map exactly where each piece of patient information goes on the claim. The patient’s name is designated in the eighth set of fields, and the specific spot used to report the actual name is the second part of that block. That’s why the correct choice is the locator labeled for the patient’s name in that area.

In practice, you’ll fill that 8b field with the patient’s name in the standard format so the payer’s system can read and match the record to the patient. The other choices correspond to different data elements on the form, not the patient’s name, so they aren’t used for this purpose.