Question: Which of the following CDM data elements appear on the UB - 0 4 claim form? Group of answer choices ICD - 1 0 -

Which of the following CDM data elements appear on the UB-04 claim form?
Group of answer choices
ICD-10-CM code, revenue code, charge description, charge
department code, charge code, revenue code, charge
revenue code, charge description, HCPCS code, charge
charge code, revenue code, HCPCS code, charge

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