Foomka Bixinta Isku-Duubka ee loogu talagalay Bixiyeyaasha Hay'adaha
Foomka buuxinta foomka UB-04 waa khadka cas cas oo ku qoran foomka dalbashada warqadda caddaanka ah ee loo isticmaalo bixiyeyaasha hay'adaha bixinta biilasha. Inkasta oo ay sameeyeen Xarumaha Medicare iyo Medicaid (CMS), waxay noqotay qaabka caadiga ah ee ay isticmaalaan dhammaan gaadiidleyda caymiska.
Nidaamka Bixinta Gaarka ah ee Nidaamka Qaranka iyo Nidaamka Isbitaalka Mareykanka ee Naqshadeynta iyo wax ka bedelida qeexida Habraaca UB-04 ee Xogta Isgaarsiinta.
Waxay daabacaan buugga UB-04.
Ayaa Yaa Sheegi Karaa Biilasha U Isticmaalka UB-04?
Bixiye kasta oo hay'ad bixiye ah wuxuu u isticmaali karaa UB-04 si loogu dalbado sheegashada caafimaadka .
- Xarunta caafimaadka maskaxda ee bulshada
- Xarun dib-u-dhaqancelin bukaan-socodka
- Isbitaal ku-meel-gaar ah
- Dhismaha dambe ee cudurada kalyaha
- Xarun caafimaad oo heer federaal ah
- Shaybaar-ahaanshaha 'Histocompatibility'
- Hay'adda Caafimaadka Guriga
- Hospice
- Isbitaalka
- Xarunta Adeegyada Caafimaadka Indianka
- Ururka wax soo iibsiga
- Adeegyada daaweynta jirka ee bukaan-socodka
- Adeegyada daaweynta shaqada
- Adeegyada barashada hadalka ee hadalka
- Hay'ad daryeel caafimaad oo diineed
- Rugta caafimaadka ee degaanka
- Xarun kalkaalisada xirfad leh
Talooyin loogu talagalay diyaarinta UB-04
Si aad u buuxiso foomka si sax ah oo gebi ahaanba, hubi waxyaabahaan:
- Ka hubi bixiyaha caymis kasta si loo ogaado xogta loo baahan yahay.
- Hubi in dhammaan xogta si sax ah loo saxeexay oo si sax ah loogu tiirsan yahay goobaha saxda ah.
- Inta badan tilmaamaha loogu talagalay adeegyada bukaan-jiifka iyo adeegyada bukaan-socodka waa isku mid. Eeg Tusaha Bixinta Midaysan ee faahfaahin khaas ah.
- Gali macluumaadka caymiska oo ay ku jiraan magaca bukaanka sida saxda ah sida ka muuqata kaarka caymiska.
- Isticmaal lambarrada aqoonsiga saxda ah (ICD-9 ama ICD -10 ) iyo qawaaniinta nidaamka (CPT / HCPCS) adoo isticmaalaya hagaajiyaha marka loo baahdo.
- Isticmaal kaliya cinwaanka jimicsiga ee goobta goobta adeega goobta.
- Ha iloobin inaad ku darto macluumaadka NPI halka lagu muujiyey.
Tilmaamo badan oo faahfaahsan ayaa laga heli karaa www.cms.gov ama www.nubc.org
Meelaha UB-04
Waxaa jira 81 goobo ama khadadka UB-04 oo loo yaqaan 'locators' ama 'FL'. Nooc kasta oo foomka ah wuxuu leeyahay ujeedo gaar ah.
- Foomka Foomka 1 Magaca bixiyaha biilka, cinwaanka waddada, magaalada, gobolka, zip, telefoonka, fax, iyo waddanka
- Nidaamka Foomka 2 Bixiyaha bixiyaha biil bixinta-magaca, cinwaanka, magaalada, gobolka, boosta, iyo aqoonsiga haddii ay ka duwan tahay goobta 1
- Nuqulka Foomka 3 Lambarka xakameynta Bukaanka iyo lambarka rikoorka caafimaadka ee xaruntaada
- Nuqulka Foomka 4 Nooca Biilka (TOB) Tani waa afar lambar oo lambar ah oo ka bilaabma eber, sida ku cad tilmaamaha Nidaamka Qaranka ee Bixinta Lacageed.
- Foomka nambarka 5 Lambarka canshuurta federaalka ee xaruntaada
- Naqshadeeyaha Naqshadeeynta 6 Qoraalka iyo taariikhda adeegga lagu daboolay codsiga, qaabka MMDDYY.
- Nooca booska 7 Ma isticmaali karo
- Foomka Foomka 8 Magaca bukaanka ee Hore, First, MI
- Nooca booska 9 Cinwaanka waddada bukaan socodka, magaalada, gobolka, lambarka, iyo lambarka waddanka
- Foomka nambarka 10 Daryeelka bukaanka ee taariikhda dhalashada ee MMDDCCYY
- Foomka nambarka 11 Jinsiga bukaanka - M, F, ama U
- Nuqulka foomka 12 Taariikhda oggolaanshaha ee foomka MMDDCCYY
- Foomka nambarka 13 Saacadda galitaanka adigoo isticmaalaya laba lambar laba lambar oo laga bilaabo 00-saqda dhexe habeenkii ilaa 23-ka duhurnimo 11-da duhurnimo
- Nooca booqashada 14 Nooca booqashada: 1 xaalad degdeg ah, 2 loogu talagalay deg-dega ah, 3 loogu talagalay xulasho, 4 loogu talagalay ilmaha dhashay, 5 loogu talagalay dhaawaca, 9 macluumaadka aan la heli karin.
- Xirfadda Foomka 15 Meesha ay asal ahaan ka soo jeedaan (il bixinta gelitaanka)
- Foomka Xirfadiyaha 16 Saacadaha xajinta ee isku qaabka ah sida xariiq 13.
- Foomka Xirfadlaha 17 Xaaladda sii deynta oo la adeegsanayo nambarada laba-lambar ee buugga NUBC.
- Nidaamka Foomka 18-28 Xeerarka Xaaladda ee isticmaalaya nambarada laba-god oo ka socda buugga NUBC ilaa 11 dhacdooyin.
- Foomka shaashadda 29 Shilalka shilalka (haddii ay khuseyso) lambarka laba-god ee gobolka
- Foomka nambarka 30 Ma isticmaali karo
- Foomka Nidaamka Nabadgalyada 31-34 Qodobbada iyo taariikhaha la adeegsanayo buugga NUBC ee codadka
- Foomka Nidaamka Boostada 35-36 Dhacdooyinka codadka iyo taariikhaha ku jira qaabka MMDDYY
- Nuqulka foomka 37 Ma aha in la isticmaalo
- Foomka Foomka 38 Magaca iyo cinwaanka masuulka ah
- Foomka dejiyaha 39-41 Qiimaha qiimaha iyo xaddooyinka duruufaha gaarka ah ee buugga NUBC
- Foomka calaamadeyn 42 Qodobo dakhli oo laga helo buugga NUBC
- Foomka Soo-koobaha 43 Qodobka xeerka xisaabinta, lambarka aqoonsiga qalabka baaritaanka (IDE), ama iibinta daawada Medicaid NDC (lambarka daroogada qaranka)
- Nidaamka Foomka 44 HCPCS (Nidaamka Codsiga Nidaamka Caafimaadka ee Common Causeway), sicirka guryaha, HIPPS (nidaamka lacag bixinta caymiska caafimaadka)
- Foomka Foomka 45 Taariikhaha Adeegga
- Foomka Foomka 46 Qeybaha Adeegga
- Foomka Foomka 47 Magdhawga guud
- Nuqulka foomka 48 Qalabka aan la daboolin
- Taariikhda foomka 49 Page_of_ iyo taariikhda abuurista
- Foomka Soo Dhaweeyaha 50 Aqoonsiga Bixiyaha (a) Primary, (b) Secondary, iyo (c) Qodobo
- Foomka Jaangooyada 51 QORSHAHA DARYEELKA CAAFIMAADKA (a) Primary, (b) Secondary, iyo (c) Qalab
- Faylka Jaangooyada 52 Siidaynta Macluumaadka (a) Asaasiga, (b) Sare, iyo (c) Qodobo
- Nuqulka foomka 53 Qaybinta waxtarrada (a) Primary, (b) Secondary, iyo (c) Qalabka
- Nuqulka foomka 54 Lacagaha hore (a) Primary, (b) Secondary, iyo (c) Qodobka sare
- Nooca Booska 55 Qiyaasta qiyaasta ah (a) Primary, (b) Secondary, iyo (c) Qadar
- Foomka Foomka 56 Sheeg bixiyaha qaran bixiyaha (NPI)
- Foomka Foomka 57 Aqoonsiga kale ee aqoonsiga (a) Primary, (b) Secondary, iyo (c) Qodobka sare
- Foomka Foomka 58 Magaca caymiska (a) Primary, (b) Secondary, iyo (c) Jaamacad
- Xirfadda Foomka 59 Xiriirinta bukaanka (a) Primary, (b) Secondary, iyo (c) Qalab
- Nooca Xirfadlaha 60 Aqoonsiga Aqoonsiga ee caymiska (a) Primary, (b) Secondary, iyo (c) Qalab
- Nooca Xirfadlaha 61 Magaca kooxda caymiska (a) Primary, (b) Secondary, iyo (c) Qalabka
- Nuqulka Foomka 62 Lambarka Ceymiska (a) Primary, (b) Secondary, iyo (c) Qadar
- Nuqulka Foomka 63 Lambarka Oggolaanshaha Daaweynta (a) Primary, (b) Secondary, iyo (c) Qalabka
- Nambarka kumbuyuutarka 64 Lambarka xakamaynta dokumentiga ayaa sidoo kale lagu magacaabaa lambarka kontaroolka gudaha (a) Primary, (b) Secondary, iyo (c) Tertiary
- Nuqulka Foomka 65 Magaca loo-shaqeeyaha caymiska (a) Primary, (b) Secondary, iyo (c) Qalab
- Nuqulka Foomka 66 Qalabka Cabbiraadaha (ICD)
- Nidaamka Foomka 67 Qodobbada Aqoonsiga Qawaaniinta, Cilad kale iyo soo-bandhigista tilmaamayaasha (POA)
- Foomka Nidaamka 68 Ma aha in la isticmaalo
- Foomka Naqshadeeyaha 69 Aqoonsiga calaamadaha cudurka
- Foomka Foomka 70 Sababaha bukaanka ee loogu talagalay soo-booqashada nidaamka
- Nidaamka Nidaamka 71 Nidaamka lacag bixinta nidaamka lacag bixinta (PPS)
- Foomka Xirfadlaha 72 Sababta Sababta Dhibaatada Caymiska iyo Tilmaamaha POA
- Foomka Foomka 73 Ma isticmaali karo
- Foomka Nidaamka 74 Qodobbada kale iyo taariikhda
- Nuqulka foomka 75 Ma aha in la isticmaalo
- Nuqulka foomka 76 Ka qaybgalayaasha adeega NPI, ID, aqoonsi, iyo magaca ugu dambeeya
- Foomka Naqshadeeyaha 77 Dhakhtar Shaqaale NPI, Aqoonsi, Aqoonsi, iyo magaca ugu dambeeya
- Foomka Xirfadlaha 78 Kuwa kale ee bixiya NPI, Aqoonsiga, Aqoonsiga, iyo magaca ugu dambeeya
- Foomka Muuqaal 79 Adeegaha kale ee NPI, Aqoonsiga, Aqoonsiga, iyo magaca ugu dambeeya
- Foomka Faylka 80aad
- Nuqulka Foomka 81 Qodobada Sharciga iyo u-qalmitaanka