Institutional Billing (UB-04)
Bill Entry

UB-04 Add Bill

Last update
March 2, 2022

Need to add another bill to an injury?  Easy!

Step 1.  From the Injury Page, click ‘Add’ under ‘Bills’

The number in parentheses next to ‘View’ indicates the number of bills entered for the patient’s injury.Step 2.  Enter ‘Required’ Information

Step 3.  Enter ‘Optional’ Information if applicable

If billed services are authorized, we recommend including the Authorization Number.

Step 4.  Enter Diagnosis Codes

Diagnosis Codes entered on the patient’s Injury Page automatically appear on the Bill.  For help on adding Diagnosis Codes to the Injury Page, see this Help Article: Edit or View Injury.

Step 5.  Enter ‘Procedure Code’, ‘Modifiers’, and ‘Units’, then click ‘Create Bill’

  • For additional procedure codes, repeat Step 5.
  • New blank fields for Service Line Items automatically display.
  • The maximum number of Service Line Items is 50.
  • To delete a Service Line Item, click the Trash can icon next to it.

There it is: a beautiful bill!

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