Class: Billing_information_item

Description of: Billing_information_item

Class steward is Patient Administration
Billing account information particular to the national uniform billing form. In the United States, this information is used for claim production to receive payment for healthcare services provided.

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_dttm ::

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_dttm ::

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_dttm ::

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_nbr ::

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)