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

Which Form Locator is Other ID?

Form Locator 76 Form Locator 77 Form Locator 78-79 Form Locator 80

Correct Answer:

Form Locator 78-79

Explanation:

Other ID is the field used for secondary patient identifiers on the UB-04. It’s placed in two adjacent form locating spaces because an alternate ID may be longer or require two parts. That’s why the correct locator pair is the two consecutive fields, 78 and 79, which together capture the Other ID. The remaining form locators correspond to different data elements on the form and are not used for recording this secondary identifier.

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