`UB1` - UB82 data (HL7 v2.3)

Versions: v2.3 v2.3.1 v2.4 v2.5.1 v2.6 v2.7.1

The UB1 segment (UB82 data) has 23 fields in HL7 v2.3. Fields are addressed as UB1-n; composite fields break into components UB1-n.m. Paste a message into the parser to see every field annotated with this table.

#	Name	Type	Len	Opt	Repeats	Table
1	Set ID - UB1	`SI`	4	Optional	No
2	Blood Deductible	`NM`	1	Optional	No
3	Blood Furnished Pints Of	`NM`	2	Optional	No
4	Blood Replaced Pints	`NM`	2	Optional	No
5	Blood Not Replaced Pints	`NM`	2	Optional	No
6	Co Insurance Days	`NM`	2	Optional	No
7	Condition Code	`IS`	2	Optional	Max 5	0043
8	Covered Days	`NM`	3	Optional	No
9	Non Covered Days	`NM`	3	Optional	No
10	Value Amount & Code	`CM_UVC`	12	Optional	Max 8
11	Number Of Grace Days	`NM`	2	Optional	No
12	Spec Program Indicator	`CE`	60	Optional	No
13	PSRO/UR Approval Indicator	`ID`	60	Optional	No
14	PSRO/UR Approved Stay Fm	`DT`	8	Optional	No
15	PSRO/UR Approved Stay To	`DT`	8	Optional	No
16	Occurrence	`CM_OCD`	20	Optional	Max 5
17	Occurrence Span	`ID`	2	Optional	No
18	Occur Span Start Date	`DT`	8	Optional	No
19	Occur Span End Date	`DT`	8	Optional	No
20	UB 82 Locator 2	`ST`	30	Optional	No
21	UB 82 Locator 9	`ST`	7	Optional	No
22	UB 82 Locator 27	`ST`	8	Optional	No
23	UB 82 Locator 45	`ST`	17	Optional	No

UB1 - UB82 data (HL7 v2.3)

`UB1` - UB82 data (HL7 v2.3)