Which item in the UB-04 header best describes the payer information that should be recorded?

• A. Only the payer's name is required.
• B. Payer information is optional.
• C. The header should include only the policy number.
• D. The header should include payer name, address, and policy/claim numbers.

Answer: (D)

The payer information in the UB-04 header must clearly identify who is paying and how to reach them, and it must tie the claim to the patient’s coverage. Including the payer name, address, and policy/claim numbers ensures the claim is routed correctly, can be matched to the right policy, and can be contacted for any questions or adjudication steps. The name alone doesn’t specify the policy or provide a mailing address for correspondence; a policy number by itself doesn’t identify the payer or how to contact them. Payer details aren’t optional—the header needs complete payer information to process and pay the claim accurately. If there are multiple payers (primary and secondary), each would have its own set of payer data, but the underlying rule remains: record payer name, address, and policy/claim numbers.