Box 12 - Admission/Start of Care Date

Box Definition 

Box 12 on the UB-04 claim form indicates the day the patient was admitted for treatment.

In Kipu RCM

Let's review how to update Box 12 in the RCM!

• The date of admission can be updated in the Intake section of the patient's treatment episode. For more information on updating the admission hours, click here. 
• A Claim Form Rule can be created to include or omit the admission date from the claim. For additional information, click here. 
• The admission date can be updated on a claim before submitting it using our Claim Edits feature. To learn more about this feature, click here.

EDI Loop and Segment

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