Box 15 - Admission Source

Box Definition 

Box 15 on the UB-04 claim form indicates the hour of the day that care began or when the patient was admitted for treatment.

In Kipu RCM

Let's review how to update Box 15 in the RCM!

• The hour of admission source can be updated in the Intake section of the patient's treatment episode. For more information on updating the admission source, click here. 
• The source of admission 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 CL1. For additional information on loops and segments, click here.