Text Search

Quick Find


Enter a Rule Number and click Get Rule to load the Rule. You can enter any Article, Chapter, or Section number. Examples(01:15, 01:15:01, 01:15:01:01, etc.). Use the Get All button to load and entire article or chapter.

Download Rule 44:66:02:03 in Microsoft Word Format Printer Friendly

          44:66:02:03.  Required patient data to be reported. Each hospital required to report pursuant to ยง 44:66:02:01 shall provide the following information from the UB-04 form:

 

          (1)  Record type;

          (2)  Hospital number;

          (3)  Patient control number;

          (4)  Date of birth;

          (5)  Sex;

          (6)  Admission date;

          (7)  Principal diagnosis;

          (8)  Admitting diagnosis;

          (9)  Principal procedure;

          (10)  Discharge date;

          (11)  Patient status; and

          (12)  Total charges.

 

          All other fields on the UB-04 form shall be submitted as entered on the form or submitted with filler data as specified by the SDAHO.

 

          Source: 32 SDR 69, effective November 7, 2005; 34 SDR 88, effective September 10, 2007; 35 SDR 183, effective February 2, 2009.

          General Authority: SDCL 34-12E-11.

          Law Implemented: SDCL 34-12E-11(1).

 


Back to 44:66:02 | 44:66:02:03 RSS

Click message to listen