Bill type 110 ub04 instructions

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Type of Bill. Required. Enter the appropriate. 3-digit code as follows: FOR NURSING FACILITY. PROVIDERS: 1st Digit – Type of Facility. 2 = Skilled Nursing.
6) Medicare contractors shall only run claims in the Lump Sum Utility that meet the following criteria: • Type of Bill (TOB) equals 11X.
Type of Bill. Required. Enter the appropriate. 3-digit code as follows: a. First digit-type facility. 3 = Home Health b. Second digit-classification.

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