NDC on ub 04 - where to report

Placement of an NDC when filing a claim:

Paper:

If billing on a paper claim, an original Red & White form must be used - not a copy of an original.

 UB-04 location – Box 43 (Please refer to the NUBC for additional guidelines)




 CMS 1500 location – Box 24A (shaded area) (Please refer to NUCC for additional guidelines)


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