Question 1

Which header fields does the UB-04 extractor read?

Accepted Answer

The claim number and date, claim status, the billing facility name, NPI and tax ID, patient name, identifier and date of birth, the payer name and identifier, the service date range, admission type, and discharge status.

Question 2

Are the revenue-code line items returned as a table?

Accepted Answer

Yes. The line items table returns one row per charge with the line number, four-digit revenue code, description, quantity, unit charge, total charge, allowed amount, and paid amount, so the itemized bill reconciles against the claim totals.

Question 3

How are diagnoses and procedures handled?

Accepted Answer

ICD-10-CM diagnosis codes and CPT, HCPCS, or ICD-10-PCS procedure codes are captured at the claim level, and separate diagnoses and procedures tables return each code with its sequence, description, type, and procedure date.

Question 4

What claim-level amounts are extracted?

Accepted Answer

Total billed amount, allowed amount, paid amount, patient responsibility, and the currency, along with the adjudication outcome for the claim.

Question 5

Is uploading a claim with patient data a problem?

Accepted Answer

The claim is processed via the Talonic API for extraction only, is not retained for training, and is not shared. Redact PHI where you can; for BAA-covered workflows, ask about the Talonic platform. Uploads are PDF only, up to 10MB and 100 pages.

Institutional Claim (UB-04) Extractor

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