Web Reference: Jan 12, 2024 · If a hospital uses the incorrect TOB code, they may not be reimbursed for the full amount they are owed. In addition, using the wrong TOB code can delay payment and may require the hospital to resubmit the claim with the correct 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. Each digit or character in the three byte Type of Bill code represents information related to the inpatient service on the medical claim. The Type of Bill definition is dependent upon the placement and combination of these digits or characters.
YouTube Excerpt: A screencast of one of Martin Fowler's refactoring patterns from the series called Organizing Data.
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