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Which fields on the UB-04 should be used to indicate Medicare coinsurance and deductible if the form locator 39 is used by the provider for something else?

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Which fields on the UB-04 should be used to indicate Medicare coinsurance and deductible if the form locator 39 is used by the provider for something else?

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A. The provider may also use form locator 40-41 to report that information.

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