Get 1999 Public-use Data File - Utah Department Of Health - Health Utah

This guide provides users with a comprehensive overview of how to fill out the 1999 Public-Use Data File created by the Utah Department of Health. It aims to assist both novice and experienced users in navigating the document and completing it accurately online.

Follow the steps to successfully fill out the Public-Use Data File.

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Start by filling in the provider identifier, which refers to the hospital or facility from which the patient was discharged. Use the appropriate code provided in the document.
3. Enter the patient's age category. This should reflect the patient’s age at the time of discharge and can be selected from the specified ranges.
4. Indicate the patient’s gender using the assigned codes: M for Male, F for Female, or U for Unknown.
5. Document the source of admission which defines how the patient was admitted to the facility. Use the appropriate code from the options provided.
6. Fill in the patient's discharge status using the relevant codes that reflect the patient's conditions upon discharge.
7. Complete the address fields by entering the patient’s residential postal zip code and county, using valid codes or identifiers.
8. Provide diagnosis codes, including the principal diagnosis code and any secondary diagnosis codes as needed.
9. Enter the procedure codes performed during the visit as CPT-4 and/or ICD-9, based on the procedures completed.
10. Indicate the total charge for the services rendered for that visit.
11. Specify the primary payer category along with any secondary and tertiary payer categories provided during billing.
12. Indicate the discharge quarter to classify when the services were rendered.
13. Once all fields are completed, review the entire form for accuracy. After confirming all information is correct, you can save changes, download, print, or share the form as needed.

Begin filling out the 1999 Public-Use Data File online to ensure timely submission and accurate reporting.