Patient discharge status

Field 17 of the Uniform Bill (UB-04) inpatient hospital billing claim form. A two-digit code in this field indicates the patient’s disposition at the ending date of medical service for the period of care reported on the claim in Field 6. Also see patient status and patient status code .

Patient discount

Discount (5% to 20%) offered to self-pay patients if they pay the entire fee, in cash, at the time of service. For Medicare patients, the fee must not be lower than the Medicare fee schedule for the service. Also see discount.

Patient eligibility

Process of contacting the insurer or managed care plan to verify the patient’s medical services will be covered by the insurance plan, the policy information is accurate, and the policy has not expired. Additional information may be necessary to discover the primary payer for the claim.

Patient mix

Numbers and types of patients who receive medical services at a specific hospital or health care program (e.g., classifications by homes, socioeconomic factors, diagnoses, or severity of illnesses).