Avoid hardcopy UB-04 outpatient claim rejections: Do not include Admission Date/Admission Hour

Beginning January 1, 2021, we will return or reject hard copy outpatient facility claim submissions that include information/values within the following UB-04 Admission fields:

• Box 12. Admission Date
• Box 13. Admission Hour

To avoid return or rejection of your hard copy outpatient UB-04 submissions, please DO NOT include information/values within the Admission fields noted above.

If you have questions, please contact your Ancillary Contracting Specialist.

If you would like information about submitting electronic claim transactions to us, please contact our eService Help Desk’s EDI team at 1-888-334-9242 or via email at HorizonEDI@HorizonBlue.com