Box 6 - Statement Covers Period

Box Definition 

Box 6 on the UB-04 claim form is intended to display the beginning and end dates for the services on the claim.

In Kipu RCM

Let's review how to update Box 6 in the RCM!

• The system traditionally uses the first and last DOS on a claim for box 6. Since dates of service cannot be added to a claim, box 6 can only be altered by removing them.
  
  • For more information on adjusting the dates of service on standalone services, click here.
  • For information on adjusting the dates of a U/R-required service, click here. 
• A Claim Form Rule can be utilized to alter the statement date of a claim.
• Box 6 can be altered on claims before submitting them using our Claim Edits feature. To learn more about this feature, click here.

EDI Loop and Segment

Loop 2300, Segment DPT. For additional information on loops and segments, click here.