What does FL 6, the Statement Covers Period, require and in what format?

Master the UB-04 Claim Form process. Dive into essential flashcards and multiple-choice questions, each with detailed explanations and tips. Ace your exam!

Multiple Choice

What does FL 6, the Statement Covers Period, require and in what format?

Explanation:
Statement Covers Period is about the date range for the hospital stay being billed. For inpatient claims, that period runs from the admission date (from) to the discharge date (to). The dates must be entered in MMDDYY format, six digits for each date, with no separators. So both the admission and discharge dates appear in this field, each as MMDDYY, making six digits per date. This exact format ensures the claim clearly reflects the entire stay and is read consistently by payers.

Statement Covers Period is about the date range for the hospital stay being billed. For inpatient claims, that period runs from the admission date (from) to the discharge date (to). The dates must be entered in MMDDYY format, six digits for each date, with no separators. So both the admission and discharge dates appear in this field, each as MMDDYY, making six digits per date. This exact format ensures the claim clearly reflects the entire stay and is read consistently by payers.

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