UB1 - UB82 (HL7 v2.7.1)
Versions: v2.3 v2.3.1 v2.4 v2.5.1 v2.6 v2.7.1
The UB1 segment (UB82) has 23 fields in HL7 v2.7.1. 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 | Backward compatible | No | ||
| 2 | Blood Deductible | ST | Backward compatible | No | ||
| 3 | Blood Furnished Pints | ST | Backward compatible | No | ||
| 4 | Blood Replaced Pints | ST | Backward compatible | No | ||
| 5 | Blood Not Replaced Pints | ST | Backward compatible | No | ||
| 6 | Co Insurance Days | ST | Backward compatible | No | ||
| 7 | Condition Code | ST | Backward compatible | Max 5 | ||
| 8 | Covered Days | ST | Backward compatible | No | ||
| 9 | Non Covered Days | ST | Backward compatible | No | ||
| 10 | Value Amount & Code | ST | Backward compatible | Max 8 | ||
| 11 | Number Of Grace Days | ST | Backward compatible | No | ||
| 12 | Special Program Indicator | ST | Backward compatible | No | ||
| 13 | PSRO/UR Approval Indicator | ST | Backward compatible | No | ||
| 14 | PSRO/UR Approved Stay Fm | ST | Backward compatible | No | ||
| 15 | PSRO/UR Approved Stay To | ST | Backward compatible | No | ||
| 16 | Occurrence | ST | Backward compatible | Max 5 | ||
| 17 | Occurrence Span | ST | Backward compatible | No | ||
| 18 | Occur Span Start Date | ST | Backward compatible | No | ||
| 19 | Occur Span End Date | ST | Backward compatible | No | ||
| 20 | UB 82 Locator 2 | ST | Backward compatible | No | ||
| 21 | UB 82 Locator 9 | ST | Backward compatible | No | ||
| 22 | UB 82 Locator 27 | ST | Backward compatible | No | ||
| 23 | UB 82 Locator 45 | ST | Backward compatible | No |