HI

Occurrence Span Information

Pos: 231

Max: 2

Detail - Optional

Loop: 2300

Elements: 12


User Option (Usage): Situational
To supply information related to the delivery of health care

Element Summary:

 

Ref

Id

Element Name

Req

Type

Min/Max

Usage

 

HI01

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities

M

Comp

 

Required

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required

 

HI02

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Used when necessary to report multiple additional co-existing conditions.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required

 

HI03

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Used when necessary to report multiple additional co-existing conditions.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31, 32, 33

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required

 

HI04

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Used when necessary to report multiple additional co-existing conditions.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31, 32, 33

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required

 

HI05

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Used when necessary to report multiple additional co-existing conditions.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31, 32, 33

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required

 

HI06

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Used when necessary to report multiple additional co-existing conditions.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31, 32, 33

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required

 

HI07

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Used when necessary to report multiple additional co-existing conditions.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31, 32, 33

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required

 

HI08

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Used when necessary to report multiple additional co-existing conditions.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31, 32, 33

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required

 

HI09

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Used when necessary to report multiple additional co-existing conditions.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31, 32, 33

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required

 

HI10

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Used when necessary to report multiple additional co-existing conditions.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31, 32, 33

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required

 

HI11

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Used when necessary to report multiple additional co-existing conditions.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31, 32, 33

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required

 

HI12

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Used when necessary to report multiple additional co-existing conditions.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list

M

ID

1/3

Required

 

Code

Name

 

BI

Occurrence Span

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Occurrence Span Code
UB-92 Ref. [UB-Name]: 36 (a-b) [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 28, 29, 30, 31, 32, 33

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

 

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

 

Code

Name

 

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date

 

 

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Occurrence or Occurrence Span Code Associated Date
UB-92 Ref. [UB-Name]: 36 (a-b), “FROM” and “THROUGH” fields [Occurrence Span Code and Dates]
EMC v.6.0 Reference: Record Type 40 Field No. 29, 30, 32, 33

C

AN

1/35

Required



Notes:

1. Required when occurrence span information applies to the claim or encounter.

Example:

HI*BI:70:RD8:19981202-19981212~


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