Which data elements are included in the UB-04 header sections to reflect patient demographics?

• A. Address and contact information only.
• B. Medical history and allergies.
• C. Discharge disposition.
• D. Patient name, date of birth, sex, address, and related identifiers.

Answer: (D)

In UB-04, the header sections are where patient identification and demographic details live, so the form can be correctly matched to the patient across providers and payers. The data elements in that header include the patient’s name, date of birth, sex, address, and related identifiers such as patient control numbers or account numbers. These pieces establish who the claim is for and how to link it to the patient’s record and billing history.

Medical history and allergies are clinical data that belong in other parts of the form, not the demographic header. Discharge disposition is part of discharge information, not the demographic header. Address and contact information alone would be incomplete without the identifiers and basic demographic details like name, birth date, and sex.