Section 418.10921. Facility billing.

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Rule 921. (1) Except for a freestanding surgical outpatient facility, a licensed facility as defined in these rules shall submit facility charges on a UB-04 claim form to the carrier. A

copy of the UB-04 form shall be published separate from these rules in a manual provided on the agency’s website at www.michigan.gov/wca. The Official UB-04 Data Specifications Manual referenced in these rules contains instructions for facility billing.

(2) A facility billing for a practitioner service shall bill charges on the CMS 1500 claim form.

History: 1998-2000 AACS; 2005 AACS; 2008 AACS; 2014 AACS.

                    
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