What does the Statement Covers Period field denote on UB-04?

• A. The date range of services covered by the claim.
• B. The patient’s birth date.
• C. The billing provider’s license number.
• D. The insurance policy expiration date.

Answer: (A)

The date range of services billed on the claim is shown by the Statement Covers Period. This field tells the payer exactly which dates the patient received care that is being billed—such as an inpatient stay from admission date to discharge date or a series of outpatient visits within a defined window. That framing is crucial for matching the claim to medical records, applying the correct eligibility rules, and ensuring the services being paid for fall within the covered period. It isn’t the patient’s birth date, the billing provider’s license, or the policy expiration date—those data points belong to other areas of the form and serve different purposes.