N-UB-04 SERVICE LINE (PRINT) (193)    IB DATA ELEMENT DEFINITION (364.5)

Name Value
NAME N-UB-04 SERVICE LINE (PRINT)
SECURITY LEVEL NATIONAL,NO EDIT
TYPE OF ELEMENT EXTRACTED VIA CODE
ELEMENT CATEGORY GROUP ELEMENT
BASE FILE BILL/CLAIMS
EXTRACT CODE K ^TMP($J,"IBC-RC"),IBXSAVE("DATE") N IBIFN,IBFL,IBZ S IBIFN=IBXIEN X "N A,B S A="""",B=6 F S A=$O(^TMP($J,""PROC"",A)) Q:'A S B=B+1,IBFL(80,B)=^(A),IBFL(80)=B" S:'$$INPAT^IBCEF(IBXIEN,1) IBXSAVE("DATE")=$$SERVDT^IBCEF(IBXIEN,6,0) D ^IBCF33
DESCRIPTION
The data to be included in form locators 42-49 for bill entry IBXIEN.
Also, for outpatient UB-04 claims, it saves the statement from date in
IBXSAVE("DATE")
Two formats of data are returned in ^TMP($J,"IBC-RC"):
 ^TMP($J,"IBC-RC",line #) = column flag=1^revenue code^revenue code std
                         abbreviation^CPT code^unit charge^units^total
                         charges^non-covered charges^form locator 49
                         ^ien of revenue code multiple^modifiers
    OR
 ^TMP($J,"IBC-RC",line #) = column flag=2 or 3^free text (2 prints text in
                         column 1, 3 in column 6)