Which Form Locator is used to report the Service Date?

Which Form Locator is used to report the Service Date?

• A. Form Locator 38
• B. Form Locator 45
• C. Form Locator 42
• D. Form Locator 49

Answer: (B)

The date of service for a line item is recorded in the field designated as the service date on the UB-04. That field is Form Locator 45. It’s the official location on the claim where the date the service was provided is entered, which is essential for linking the service to the correct date, payment rules, and adjudication. Other form locators on the UB-04 refer to different data elements (such as admission/discharge information, diagnoses, or other identifiers), so they aren’t used to report the service date.

The date of service for a line item is recorded in the field designated as the service date on the UB-04. That field is Form Locator 45. It’s the official location on the claim where the date the service was provided is entered, which is essential for linking the service to the correct date, payment rules, and adjudication. Other form locators on the UB-04 refer to different data elements (such as admission/discharge information, diagnoses, or other identifiers), so they aren’t used to report the service date.