HL7® Definition

 

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UB1: Ub82 Data

SEQLENGTHDTOPTRPT / #TBL #NAME
UB1.14SIO1Set Id - Ub82
UB1.21NMO10136Blood Deductible (43)
UB1.32NMO1Blood Furnished Pints Of (40)
UB1.42NMO1Blood Replaced Pints (41)
UB1.52NMO1Blood Not Replaced Pints (42)
UB1.62NMO1Co-insurance Days (25)
UB1.72IDO50043Condition Code (35-39)
UB1.83NMO1Covered Days (23)
UB1.93NMO1Non-covered Days (24)
UB1.1012CM_UVCO80153Value Amount And Code (46-49)
UB1.112NMO1Number Of Grace Days (90)
UB1.122IDO1Special Program Indicator (44)
UB1.131IDO1Psro / Ur Approval Indicator (87)
UB1.148DTO1Psro / Ur Approved Stay - From (88)
UB1.158DTO1Psro / Ur Approved Stay - To (89)
UB1.1620CM_OCDO5Occurrence (28-32)
UB1.172IDO1Occurrence Span (33)
UB1.188DTO1Occurrence Span Start Date (33)
UB1.198DTO1Occurrence Span End Date (33)
UB1.2030STO1Ub-82 Locator 2
UB1.217STO1Ub-82 Locator 9
UB1.228STO1Ub-82 Locator 27
UB1.2317STO1Ub-82 Locator 45

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