Uniform Billing, Version 04 (UB-04) Certification Practice Test

Which Form Locator is Attending Name/ID-Qualifier 1G?

Form Locator 75 Form Locator 76 Form Locator 77 Form Locator 78-79

Correct Answer:

Form Locator 76

Explanation:

In UB-04 data entry, the Attending Name/ID-Qualifier is tied to a specific Form Locator, and that qualifier 1G is entered in Form Locator 76. This locator is designated for the attending physician’s name and their identifier qualifier, so when you see 1G for Attending Name/ID-Qualifier, you place it in 76. Other form locators in this vicinity are reserved for different provider roles (such as admitting, operating, or other attending types), so they don’t apply to the Attending Name/ID-Qualifier. Understanding this mapping helps ensure the attending provider’s information is recorded accurately for billing and data analytics.

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