| Name | Value |
|---|---|
| NAME | N-UB-04 SERVICE LINE (EDI) |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| TYPE OF ELEMENT | EXTRACTED VIA CODE |
| ELEMENT CATEGORY | GROUP ELEMENT |
| BASE FILE | BILL/CLAIMS |
| EXTRACT CODE | S IBXDATA="" I $$FT^IBCEF(IBXIEN)=3 K:$$INSPRF^IBCEF(IBXIEN)=1 IBXSAVE("DATE") S:'$$INPAT^IBCEF(IBXIEN,1) IBXSAVE("DATE")=$$SERVDT^IBCEF(IBXIEN,8,1) D HOS^IBCEF2(IBXIEN) |
| DESCRIPTION | The data to be included in the institutional service claim segment for
bill entry IBXIEN. Format is revenue code pointer^procedure code pointer^
unit charge^units^total charge^total uncovered charge^form locator 49^
ien of revenue code multiple^iens of modifiers for the CPT code
Data is returned in an array IBXDATA(n) and IBXSAVE("DATE")=service date
for outpatient institution charges
|