UB2 - Uniform Billing Data (HL7 v2.7.1)
Versions: v2.3 v2.3.1 v2.4 v2.5.1 v2.6 v2.7.1
The UB2 segment (Uniform Billing Data) has 17 fields in HL7 v2.7.1. Fields are addressed as
UB2-n; composite fields break into components UB2-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 - UB2 | SI | 4 | Optional | No | |
| 2 | Co-Insurance Days (9) | ST | 3 | Optional | No | |
| 3 | Condition Code (24-30) | CWE | Optional | Max 7 | 0043 | |
| 4 | Covered Days (7) | ST | 3 | Optional | No | |
| 5 | Non-Covered Days (8) | ST | 4 | Optional | No | |
| 6 | Value Amount & Code | UVC | Optional | Max 12 | ||
| 7 | Occurrence Code & Date (32-35) | OCD | Optional | Max 8 | ||
| 8 | Occurrence Span Code/Dates (36) | OSP | Optional | Max 2 | ||
| 9 | Uniform Billing Locator 2 (State) | ST | 29 | Optional | Max 2 | |
| 10 | Uniform Billing 11 (State) | ST | 12 | Optional | Max 2 | |
| 11 | Uniform Billing 31 (National) | ST | 5 | Optional | No | |
| 12 | Document Control Number | ST | 23 | Optional | Max 3 | |
| 13 | Uniform Billing 49 (National) | ST | 4 | Optional | Max 23 | |
| 14 | Uniform Billing 56 (State) | ST | 14 | Optional | Max 5 | |
| 15 | Uniform Billing 57 (National) | ST | 27 | Optional | No | |
| 16 | Uniform Billing 78 (State) | ST | 2 | Optional | Max 2 | |
| 17 | Special Visit Count | NM | 3 | Optional | No |