Box 12 - Admission/Start of Care Date

Box Definition

Box 12 on the UB-04 Claim form is used to display the admission or start of care date for the patient.

In AveaOffice

To edit the Admission/Start of Care Date on the UB-04 in AveaOffice:

1. Navigate to the Patient's Treatment Episode > Intake > Admit/Discharge tab.

2. Select "Edit".

3. Enter the updated admit date.
4. Save

EDI File

Loop 2300, Segment DTP