Which item is typically included in the UB-04 header to describe payer or payer edits?

• A. Payer information
• B. Diagnosis pointers
• C. Value Codes
• D. Occurrence Codes

Answer: (A)

In the UB-04 form, the header is where payer-related information is stored. This part of the form communicates who is responsible for payment and any payer-specific handling or edits that should be applied during processing. Having the payer’s identity and identifiers at the top helps ensure the claim goes to the correct payer and is adjudicated under that payer’s rules.

Diagnosis pointers are linked to the individual service lines to show which diagnosis supports each item, so they belong with the line-item data rather than the header. Value Codes and Occurrence Codes convey auxiliary information such as payment types or event dates, but they don’t describe who the payer is or any edits applied by the payer.