The UB1 segment contains data specific to the United States. Only billing/claims fields that do not exist in other HL7 defined segments appear in this segment. The codes listed as examples are not an exhaustive or current list.
Attention: the UB1 segment was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Seq# | DataElement | Description | Must Implement | Flags | Cardinality | Length | C.LEN | Vocabulary | DataType |
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00530 | Set ID - UB1 | SHALL NOT | W | [0..0] | SI | |||
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00531 | Blood Deductible | SHALL NOT | W | [0..0] | ||||
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00532 | Blood Furnished-Pints | SHALL NOT | W | [0..0] | ||||
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00533 | Blood Replaced-Pints | SHALL NOT | W | [0..0] | ||||
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00534 | Blood Not Replaced-Pints | SHALL NOT | W | [0..0] | ||||
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00535 | Co-Insurance Days | SHALL NOT | W | [0..0] | ||||
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00536 | Condition Code | SHALL NOT | W | [0..0] | ||||
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00537 | Covered Days | SHALL NOT | W | [0..0] | ||||
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00538 | Non Covered Days | SHALL NOT | W | [0..0] | ||||
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00539 | Value Amount & Code | SHALL NOT | W | [0..0] | ||||
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00540 | Number Of Grace Days | SHALL NOT | W | [0..0] | ||||
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00541 | Special Program Indicator | SHALL NOT | W | [0..0] | ||||
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00542 | PSRO/UR Approval Indicator | SHALL NOT | W | [0..0] | ||||
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00543 | PSRO/UR Approved Stay-Fm | SHALL NOT | W | [0..0] | ||||
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00544 | PSRO/UR Approved Stay-To | SHALL NOT | W | [0..0] | ||||
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00545 | Occurrence | SHALL NOT | W | [0..0] | ||||
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00546 | Occurrence Span | SHALL NOT | W | [0..0] | ||||
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00547 | Occur Span Start Date | SHALL NOT | W | [0..0] | ||||
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00548 | Occur Span End Date | SHALL NOT | W | [0..0] | ||||
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00549 | UB-82 Locator 2 | SHALL NOT | W | [0..0] | ||||
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00550 | UB-82 Locator 9 | SHALL NOT | W | [0..0] | ||||
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00551 | UB-82 Locator 27 | SHALL NOT | W | [0..0] | ||||
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00552 | UB-82 Locator 45 | SHALL NOT | W | [0..0] |
Attention: UB1-2 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-2 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-3 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-4 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-5 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-6 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-7 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-8 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-9 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-10 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-11 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-12 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-13 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-14 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-15 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-16 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-17 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-18 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-19 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-20 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-21 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-22 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: UB1-23 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.