CurrentNeighborhood Health Plan of Rhode IslandPolicy N/A

Outpatient UB-92 billing for services spanning calendar days

Governance of how outpatient services that cross calendar days must be billed on UB-92 claims to Neighborhood Health Plan of Rhode Island; affects providers submitting outpatient UB-92 claims.

Policy Summary

PayerNeighborhood Health Plan of Rhode Island

PolicyOutpatient UB-92 billing for services spanning calendar days

Policy CodePolicy N/A

Change TypeNo material change

Effective DateSep 1, 2011

Next Review DateN/A

Key ActionBill outpatient services that cross a calendar day on a UB-92 and itemize by individual date with units per day; condensed date-range billing will be rejected.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

UB-92claim form required

itemize by dateservices must be billed

rejectedcondensed billing

outpatientsetting of service

Outpatient multi-day billing criteria

Policy Summary

PayerNeighborhood Health Plan of Rhode Island

PolicyOutpatient UB-92 billing for services spanning calendar days

Policy CodePolicy N/A

Change TypeNo material change

Effective DateSep 1, 2011

Next Review DateN/A

Key ActionBill outpatient services that cross a calendar day on a UB-92 and itemize by individual date with units per day; condensed date-range billing will be rejected.

SourceLink

On This Page

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Form, itemization, and date-span billing rules

Form and itemization requirementsmixed

UB-92	This policy applies to charges billed on a UB-92.
Itemization by date	All services must be itemized by individual date rendered and corresponding units per day.
Condensed billing (date range + total units)	Claims received with condensed billing with a date range and total units will receive an error message and claim rejection requesting a corrected, itemized bill for processing.
Setting of service: outpatient	This policy applies to the outpatient setting of service.

Date span billing

Policy on date-span billingNot accepted — outpatient services that cross a calendar day must be itemized by individual date rendered with corresponding units per day.

Claim form requiredUB-92

Setting of serviceOutpatient only

Consequence for date-range submissionsClaims submitted with a date range and total units (condensed billing) will receive an error and be rejected; a corrected, itemized bill must be submitted for processing.

Billing and claim submission rules — provider responsibilities

Billing Rule

UB-92 itemization required for outpatient services spanning calendar days

Claims for outpatient services that cross a calendar day must be submitted on a UB-92 and itemized by individual date of service with corresponding units for each day. Condensed billing that submits a single date range with total units will be rejected; the claim will return an error message requesting a corrected, itemized bill for processing.

Use UB-92 form for all applicable outpatient multi-day claims.
List each calendar date separately and report units rendered on that specific date.
Do not submit a date range with a single total unit count; such submissions will be rejected and returned for correction.

OpenPayer

Outpatient UB-92 billing for services spanning calendar days

Outpatient multi-day billing criteria

Form, itemization, and date-span billing rules

Billing and claim submission rules — provider responsibilities

Definitions and examples