Box 14 - Admission Type

Box Definition

Box 14 on the UB-04 claim form is used to indicate the type of admission. The options are as follows: 

  • 1 = Emergency
  • 2 = Urgent
  • 3 = Elective
  • 4 = Newborn
  • 5 = Trauma Center
  • 9 = Information Not Available

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In AveaOffice

To edit box 14 on the UB-04 claim form in AveaOffice:

  1. Navigate from the Patient to Intake > Admit/Discharge.mceclip1.png
  2. Select Edit.
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  3. Select the Admit Type.
  4. Click Save.

 

EDI Loop/Segment

Loop 2300, Segment DTP

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