UB2 segment

The UB2 segment contains data necessary to complete UB92 bills specific to the United States; other realms may choose to implement using regional code sets. Only UB82 and UB92 fields that do not exist in other HL7 defined segments appear in this segment. Just as with the UB82 billing, Patient Name and Date of Birth are required; they are included in the PID segment and therefore do not appear here. When the field locators are different on the UB92, as compared to the UB82, the element is listed with its new location in parentheses ( ). The UB codes listed as examples are not an exhaustive or current list; refer to a

The shape of one line

optional

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 UB2-3 and its value arrives as UB2-2, so the receiver stores Condition Code as Co-Insurance Days.

This page carries the UB2 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 UB2.

Every field

SEQ LEN DT OPT RP/# TBL# ITEM# Element name Cardinality

UB2-1 4 SI O 00553 Set ID - UB2 0..1

UB2-2 3 ST O 00554 Co-Insurance Days (9) 0..1

UB2-3 2 IS O Y/7 0043 00555 Condition Code (24-30) 0..7

UB2-4 3 ST O 00556 Covered Days (7) 0..1

UB2-5 4 ST O 00557 Non-Covered Days (8) 0..1

UB2-6 41 UVC O Y/12 00558 Value Amount & Code 0..12

UB2-6 is a UVC, which holds 2 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
UVC.1	20	CNE	R	0153	Value Code
UVC.2	20	MO	O		Value Amount

UB2-7 259 OCD O Y/8 00559 Occurrence Code & Date (32-35) 0..8

UB2-7 is a OCD, which holds 2 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
OCD.1	705	CNE	R	0350	Occurrence Code
OCD.2	8	DT	R		Occurrence Date

UB2-8 268 OSP O Y/2 00560 Occurrence Span Code/Dates (36) 0..2

UB2-8 is a OSP, which holds 3 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
OSP.1	705	CNE	R	0351	Occurrence Span Code
OSP.2	8	DT	C		Occurrence Span Start Date
OSP.3		DT	U		Occurrence Span Stop Date

UB2-9 29 ST O Y/2 00561 UB92 Locator 2 (State) 0..2

UB2-10 12 ST O Y/2 00562 UB92 Locator 11 (State) 0..2

UB2-11 5 ST O 00563 UB92 Locator 31 (National) 0..1

UB2-12 23 ST O Y/3 00564 Document Control Number 0..3

UB2-13 4 ST O Y/23 00565 UB92 Locator 49 (National) 0..23

UB2-14 14 ST O Y/5 00566 UB92 Locator 56 (State) 0..5

UB2-15 27 ST O 00567 UB92 Locator 57 (National) 0..1

UB2-16 2 ST O Y/2 00568 UB92 Locator 78 (State) 0..2

UB2-17 3 NM O 00815 Special Visit Count 0..1

Message types carrying UB2

UB2 appears in 6 message structures, belonging to 3 message types.

UB2 segment

The shape of one line

Every field

Related

Message types carrying UB2