Which Form Locator is used for the Admission Date on the UB-04 form?

Which Form Locator is used for the Admission Date on the UB-04 form?

• A. FL 12
• B. FL 6
• C. FL 8b
• D. FL 9

Answer: (A)

The main idea is how Form Locators map to specific data elements on the UB-04. The Admission Date is assigned to Form Locator 12 in the UB-04 data specification, so the date of admission should be entered in that field. This dedicated mapping is what makes that locator the correct place for the information. The other form locators correspond to different data elements (such as other dates or demographic details) and thus are not used for the admission date.

The main idea is how Form Locators map to specific data elements on the UB-04. The Admission Date is assigned to Form Locator 12 in the UB-04 data specification, so the date of admission should be entered in that field. This dedicated mapping is what makes that locator the correct place for the information. The other form locators correspond to different data elements (such as other dates or demographic details) and thus are not used for the admission date.