Billing Highlights for Facilities

The documents provided here identify the information required in the UB-04 and 1500 Claim Form locator fields when billing specific provider type claims to Highmark Blue Cross Blue Shield. In addition, helpful tips are offered to assist in providing the needed information for each provider type.

Note: These "Billing Highlights" are tip sheets for some locator information needed on version 5010 UB/837I for facility claim submissions and 1500/837P for ambulance claim submissions. The official UB-04 data specifications are available through the National Uniform Billing Committee (nubc.org), and the official 1500 Claim Form data specifications are available through the National Uniform Claim Committee (nucc.org).

Topic
Ambulatory Surgery Center
Comprehensive Outpatient Rehabilitation Facility
Dialysis
Home Health
Home Health: Private Duty Nursing
Home Health: Episodic Care - 60-Day Episode
Home Health: Episodic Care - Flu Shot Claims
Home Health: Episodic Care - LUPA Claims
Home Health: Episodic Care - RAP Claims
Hospice Inpatient
Hospice Outpatient
Hospital Inpatient
Hospital Outpatient
Long-Term Acute Care (LTAC)
Rehabilitation Hospital Inpatient
Rehabilitation Hospital Outpatient
Skilled Nursing Facility Inpatient
Skilled Nursing Facility Outpatient

Behavioral Health Services

Topic
Inpatient Psychiatric
Inpatient Substance Abuse/Detoxification
Intensive Outpatient Services
Partial Hospitalization
Separately Billed Outpatient Services

Ambulance Services

Topic
Ambulance: Emergency Transports
Ambulance: Non-Emergent Transports
Air Ambulance
Wheelchair Van Transport
Last updated on 9/17/2021

 

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