On a UB-04 claim form, the ASG. BEN. field indicates whether the patient has signed an assignment of benefits.

On a UB-04 claim form, the ASG. BEN. field indicates whether the patient has signed an assignment of benefits.

• A. Assignment of Benefits status
• B. Release of Information status
• C. Payer Name
• D. Health Plan ID

Answer: (A)

The field tests whether the patient has signed an Assignment of Benefits. This is a yes/no indicator that shows if the patient has authorized the insurer to pay benefits directly to the provider. When the assignment is in place, payments for covered services go to the provider, which changes the payer’s payment flow and helps avoid patient-directed reimbursements. If there’s no assignment, the payer may pay the patient or follow other reimbursement rules, and the provider may need the patient to handle payment or reimbursement. The other options don’t fit because they relate to different aspects: Release of Information status deals with consent to release medical records, Payer Name identifies the insurer, and Health Plan ID is the plan’s identifier.

The field tests whether the patient has signed an Assignment of Benefits. This is a yes/no indicator that shows if the patient has authorized the insurer to pay benefits directly to the provider. When the assignment is in place, payments for covered services go to the provider, which changes the payer’s payment flow and helps avoid patient-directed reimbursements. If there’s no assignment, the payer may pay the patient or follow other reimbursement rules, and the provider may need the patient to handle payment or reimbursement.

The other options don’t fit because they relate to different aspects: Release of Information status deals with consent to release medical records, Payer Name identifies the insurer, and Health Plan ID is the plan’s identifier.