Facility billing with the UB-04

Send standard UB-04 facility claims to Priority Health by mail or electronically. See the UB-04 field list.

  • Hand-written or faxed claims will not be accepted.
  • A valid CPT/HCPCS code must be included when billing these revenue codes. Without the CPT/HCPCS codes, claims will deny.
  • A POA indicator is required on all inpatient claims.
  • Itemization is required when you bill us for rehabilitation services.
  • Do not use highlighters.

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