Which Form Locator records Source of Admission on the UB-04 form?

Which Form Locator records Source of Admission on the UB-04 form?

• A. Form Locator 15
• B. Form Locator 14
• C. Form Locator 16
• D. Form Locator 17

Answer: (A)

The key idea here is where the UB-04 captures the origin of the admission—the source that prompted the patient to be admitted. That information is recorded in a specific Form Locator on the UB-04, and it is assigned to Form Locator 15. This field lets you indicate where the patient came from before admission, such as the Emergency Department, another hospital, a clinic, or a physician’s office. This origin data is important for billing and payer review, as it affects admission classification and coverage decisions. The other Form Locators collect different information (like dates, types of admission, or patient details), so they don’t serve the purpose of identifying the admission source.

The key idea here is where the UB-04 captures the origin of the admission—the source that prompted the patient to be admitted. That information is recorded in a specific Form Locator on the UB-04, and it is assigned to Form Locator 15. This field lets you indicate where the patient came from before admission, such as the Emergency Department, another hospital, a clinic, or a physician’s office. This origin data is important for billing and payer review, as it affects admission classification and coverage decisions. The other Form Locators collect different information (like dates, types of admission, or patient details), so they don’t serve the purpose of identifying the admission source.