Claims · Decoder
Type of Bill Decoder & Builder
Break a Type of Bill into its three parts — facility, classification, frequency — or build one from scratch. Covers SNF, Home Health, Hospice, and swing bed.
Decode
A 4-digit Type of Bill leads with a placeholder 0. The three meaningful digits are facility type, bill classification, then frequency. The frequency digit drives whether a claim is original, interim, a replacement, or a void.
Build one
Facility type
Bill classification
Frequency
Type of Bill
0211
Common post-acute bill types
| TOB | Meaning |
|---|---|
| 0211 | SNF inpatient (Part A) — admit through discharge |
| 0212 | SNF inpatient — interim, first claim |
| 0214 | SNF inpatient — interim, last claim |
| 0217 | SNF inpatient — replacement of prior claim |
| 0181 | Hospital swing bed — admit through discharge |
| 0322 | Home Health — interim, first claim |
| 0327 | Home Health — replacement of prior claim |
| 0329 | Home Health — final claim |
| 0811 | Hospice (non-hospital based) — admit through discharge |
| 0821 | Hospice (hospital based) — admit through discharge |
Reference: CMS Medicare Claims Processing Manual (Pub. 100-04). Classification meanings vary by facility type. Verify against current NUBC / MAC guidance.