Class: Billing_information_item

Description of: Billing_information_item

Class steward is Patient Administration
Billing account information particular to the national uniform billing form.

Attribute definitions for: Billing_information_item

condition_cd

A code depicting a condition.

EXTREF: This information is reported on UB92 FL 24-30.

|UB1^7^00536^Condition Code (35-39)| |UB1^12^00541^Spec Program Indicator (44) | |UB2^3^00555^Condition Code (24-30)|

occurrence_cd

A code depicting a event.

EXTREF: This information is reported on UB92 FL 32-35.

|UB1^16^00545^Occurrence (28-32)| |UB2^7^00559^Occurrence Code & Date (32-35)|

occurrence_dt

The date of the event depicted in occurrence code.

EXTREF: This information is reported on UB92-35.

|UB2^7^00559^Occurrence Code & Date (32-35)|

occurrence_span_cd

A code depicting an event which occurs over a span of time.

EXTREF: This information is reported on UB92 FL 36.

|UB1^13^00542^PSRO/UR Approval Indicator (87) | |UB1^17^00546^Occurrence Span (33) | |UB2^8^00560^Occurrence Span Code/Dates (36)|

occurrence_span_from_dt

The from date of the event depicted in occurrence span code.

EXTREF: This inormation is reported on UB92 FL 36.

|UB1^14^00543^PSRO/UR Approved Stay-Fm (88)| |UB1^18^00547^Occur Span Start Date(33) | |UB2^8^00560^Occurrence Span Code/Dates (36)|

occurrence_span_thru_dt

The end date of the event depicted in occurrence span code.

EXTREF: This information is reported on UB92 FL 36.

|UB1^15^00544^PSRO/UR Approved Stay-To (89)| |UB1^19^00548^Occur Span End Date (33) | |UB2^8^00560^Occurrence Span Code/Dates (36)|

quantity_amt

A quantitative value on a bill. The value is qualified by quantity type code.

EXTREF: The quantity of covered days, non-covered days, and co-insurance days are reported on UB92 FL 7, 8, and 9.

|UB1^3^00532^Blood Furnished-Pints Of (40)| |UB1^4^00533^Blood Replaced-Pints (41)| |UB1^5^00534^Blood Not Replaced-Pints(42)| |UB1^6^00535^Co-Insurance Days (25)| |UB1^8^00537^Covered Days (23) | |UB1^9^00538^Non Covered Days (24) | |UB1^11^00540^Number Of Grace Days (90) | |UB2^2^00554^Co-Insurance Days (9)| |UB2^4^00556^Covered Days (7)| |UB2^5^00557^Non-Covered Days (8)| |UB2^17^00815^Special Visit Count|

quantity_type_cd

A code qualifying the quantity amount information on a bill (e.g., Blood furnished, blood not replaced, blood replaced, coinsurance day, covered day, non-covered day, grace day, special visit, . . .).

value_amt

A value amount qualified by value code.

EXTREF: This information is reported on UB92 FL 39-41.

|UB1^10^00539^Value Amount & Code (46-49)| |UB2^6^00558^Value Amount & Code|

value_cd

A code qualifying the billing information value amount.

EXTREF: This information is reported on UB92 FL 39-41.

|UB1^10^00539^Value Amount & Code (46-49)| |UB2^6^00558^Value Amount & Code|

Association definitions for: Billing_information_item

pertains_to (1,1) :: Patient_billing_account :: has (0,n)