| Name | Value |
|---|---|
| FORM FIELD REFERENCE | UB-04 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-TYPE OF ADMISSION |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S:'IBXDATA IBXDATA=9 |
| FORMAT CODE DESCRIPTION | Admission type: esg - 8/15/07 - FL-14 is always required - even for outpatients - so if IBXDATA does not have a value, set it equal to "9" for local printing. 1 - Emergency 2 - Urgent 3 - Elective 4 - Newborn 5 - Trauma 6-8 - Reserved 9 - Information not available |