What is Bill Type 13X?
To properly bill, the provider assigns type of bill (TOB) 13X to all bills for outpatient diagnostic testing services and TOB 14X for non-patient laboratory specimens. CAHs should continue to bill TOB 85X for outpatient lab services. Lab services should be billed on TOB 13X for all other hospital outpatients.
What is Bill type for professional claims?
Professional charges are billed on a CMS-1500 form. 1 The CMS-1500 is the red-ink-on-white-paper standard claim form used by physicians and suppliers for claim billing. The electronic version of the CMS-1500 is called the 837-P, the P standing for the professional format.
What is inpatient bill?
Concise/General Policy Description: An inpatient service requires a beneficiary reside in a specific institutional setting during treatment. An outpatient service is provided by an institutional provider, but beneficiaries are not necessarily confined to a specific institution for periods of 24 hours or more.
What is Bill Type 86X?
Freestanding inpatient substance use disorder facilities should now use *bill type 86X to submit claims for inpatient services. This change applies to all claims submitted to CareFirst for inpatient detoxification, inpatient rehabilitation and residential treatment services.
What is Bill Type 731?
AB 731, Kalra. Health care coverage: rate review. The bill would eliminate separate reporting and disclosure requirements for a health plan that exclusively contracts with no more than 2 medical groups in the state.
What does Bill type mean?
The bill type represents a category of activity that should be grouped together on a particular bill. You can set default values at the bill type level.
What is a type of Bill code?
Type of bill codes are three-digit codes located on the UB-04 claim form that describe the type of bill a provider is submitting to a payer, such as Medicaid or an insurance company. This code is required on line 4 of the UB-04.
What are the types of Bill?
There are three different types of Bill: Public, Private and Hybrid Bills. There is also another kind of Public Bill called Private Members’ Bills.
What does Bill Type 131 mean?
Type of bill 131 indicates the type of facility is a hospital (1), the bill classification is outpatient (3) and the frequency is admit through discharge (1). The span dates are for the date the member was admitted into the emergency room.