HL7 v2.5.1 Specificationsv2.5.1

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UB1 segment

The UB1 segment contains the data necessary to complete UB82 bills specific to the United States; other realms may choose to implement using regional code sets. Only UB82 fields that do not exist in other HL7 defined segments appear in this segment. Patient Name and Date of Birth are required for UB82 billing; however, they are included in the PID segment and therefore do not appear here. The UB codes listed as examples are not an exhaustive or current list. Refer to a UB specification for additional information. The Uniform Billing segments are specific to the US and may not be implemented in non-US systems.

The shape of one line

segmentUB1|UB1-1Set ID - UB1|UB1-2Blood Deductible|UB1-3Blood Furnished-Pints Of|UB1-4Blood Replaced-Pints|UB1-5Blood Not Replaced-Pints|UB1-6Co-Insurance Days|UB1-7Condition Code|UB1-8Covered Days -|UB1-9Non Covered Days -|UB1-10Value Amount & Code| …13 more

optional kept for older systems, still counted

Count the pipes to find a field, and count the empty ones too: an empty field still holds its place. Leave out the separator before UB1-4 and its value arrives as UB1-3, so the receiver stores Blood Replaced-Pints as Blood Furnished-Pints Of.

This page carries the UB1 field table as published and nothing beyond it. The field notes, vendor behaviour, FHIR mapping and parsing guidance that thePID page has are still to be written for UB1.

Every field

SEQLENDTOPTRP/#TBL#ITEM#Element nameCardinality
UB1-14SIO00530Set ID - UB10..1
UB1-21NMB00531Blood Deductible (43) deprecated0..1
UB1-32NMO00532Blood Furnished-Pints Of (40)0..1
UB1-42NMO00533Blood Replaced-Pints (41)0..1
UB1-52NMO00534Blood Not Replaced-Pints(42)0..1
UB1-62NMO00535Co-Insurance Days (25)0..1
UB1-714ISOY/5004300536Condition Code (35-39)0..5
UB1-83NMO00537Covered Days - (23)0..1
UB1-93NMO00538Non Covered Days - (24)0..1
41UVCOY/800539Value Amount & Code (46-49)0..8

UB1-10 is a UVC, which holds 2 components separated by carets.

SEQLENDTOPTTBL#Component name
UVC.120CNER0153Value Code
UVC.220MOOValue Amount
UB1-112NMO00540Number Of Grace Days (90)0..1
250CEO034800541Special Program Indicator (44)0..1

UB1-12 is a CE, which holds 6 components separated by carets.

SEQLENDTOPTTBL#Component name
CE.120STOIdentifier
CE.2199STOText
CE.320IDO0396Name of Coding System
CE.420STOAlternate Identifier
CE.5199STOAlternate Text
CE.620IDO0396Name of Alternate Coding System
250CEO034900542PSRO/UR Approval Indicator (87)0..1

UB1-13 is a CE, which holds 6 components separated by carets.

SEQLENDTOPTTBL#Component name
CE.120STOIdentifier
CE.2199STOText
CE.320IDO0396Name of Coding System
CE.420STOAlternate Identifier
CE.5199STOAlternate Text
CE.620IDO0396Name of Alternate Coding System
UB1-148DTO00543PSRO/UR Approved Stay-Fm (88)0..1
UB1-158DTO00544PSRO/UR Approved Stay-To (89)0..1
259OCDOY/500545Occurrence (28-32)0..5

UB1-16 is a OCD, which holds 2 components separated by carets.

SEQLENDTOPTTBL#Component name
OCD.1705CNER0350Occurrence Code
OCD.28DTROccurrence Date
250CEO035100546Occurrence Span (33)0..1

UB1-17 is a CE, which holds 6 components separated by carets.

SEQLENDTOPTTBL#Component name
CE.120STOIdentifier
CE.2199STOText
CE.320IDO0396Name of Coding System
CE.420STOAlternate Identifier
CE.5199STOAlternate Text
CE.620IDO0396Name of Alternate Coding System
UB1-188DTO00547Occur Span Start Date(33)0..1
UB1-198DTO00548Occur Span End Date (33)0..1
UB1-2030STB00549UB-82 Locator 2 deprecated0..1
UB1-217STB00550UB-82 Locator 9 deprecated0..1
UB1-228STB00551UB-82 Locator 27 deprecated0..1
UB1-2317STB00552UB-82 Locator 45 deprecated0..1

Message types carrying UB1

UB1 appears in 6 message structures, belonging to 3 message types.