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| Claims Forms: UB-92 |
All facility claims MUST have your Health Partners location
number Health Partners location number and the attending physician’s
medical license number in the appropriate fields.
Your location number must be entered in box number 51. |
Your medical license number must be entered
in box number 82 of the UB-92 form. If you are a non-physician
practitioner and are not granted a medical license number, please
use your social security number in box 82. If you are an ancillary
provider, please leave box 82 blank. |
 Print line by line instructions (PDF document). |
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