HL7v2.Segment.UB1 (HL7v2 v3.10.1)

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UB82 (UB1) segment — HL7v2 v2.5.1.

Contains UB82 billing data. Most fields are backward-compatible (withdrawn in later versions but still present on the wire).

23 fields per HL7 v2.5.1 specification.

Summary

Types

t()

@type t() :: %HL7v2.Segment.UB1{
  admit_date: term(),
  blood_deductible: term(),
  blood_furnished_pints_of: term(),
  blood_not_replaced_pints: term(),
  blood_replaced_pints: term(),
  co_insurance_days: term(),
  condition_code: term(),
  covered_days: term(),
  discharge_date: term(),
  discharge_diagnosis: term(),
  discharge_diagnosis_date: term(),
  extra_fields: term(),
  facility_id: term(),
  health_plan_id: term(),
  non_covered_days: term(),
  number_of_grace_days: term(),
  number_of_grace_days_16: term(),
  priority: term(),
  psro_ur_approval_indicator: term(),
  psro_ur_approved_stay_to: term(),
  set_id: term(),
  special_program_code: term(),
  special_program_indicator: term(),
  value_amount_and_code: term()
}