South Dakota Administrative Rules
Title 44 - Department of Health
Article 44:66 - Hospital charge reporting
Chapter 44:66:02 - Reporting requirements
Section 44:66:02:03 - Required patient data to be reported

Universal Citation: SD Admin Rules 44:66:02:03

Current through Register Vol. 51, page 43, September 23, 2024

Each hospital required to report pursuant to § 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.

General Authority: SDCL 34-12E-11.

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

Disclaimer: These regulations may not be the most recent version. South Dakota may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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