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

Which Form Locator is designated for Future Use on the UB-04 form?

FL 5 FL 13 FL 7 FL 11

Correct Answer:

FL 7

Explanation:

Form Locators labeled Future Use are there to accommodate potential changes later without redesigning the form. They’re not used for current data, so the correct practice is to leave that field blank on a claim unless a payer specifically directs otherwise. This keeps claims consistent and avoids processing issues. The other fields on the UB-04 are active data elements (patient information, dates, codes, amounts, etc.) and are populated as applicable.

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