Encounter UB-92 Data Field Descriptions for Form and Label Templates
Data Repository data fields for Encounter UB-92.
- Bill Class
- Frequency
- Hold Date
- Occur Code 32a
- Occur Code 32b
- Occur Code 33a
- Occur Code 33b
- Occur Code 34a
- Occur Code 34b
- Occur Code 35a
- Occur Code 35b
- Occur Date 32a
- Occur Date 32b
- Occur Date 33a
- Occur Date 33b
- Occur Date 34a
- Occur Date 34b
- Occur Date 35a
- Occur Date 35b
- Source of Admission
- Type of Facility
- Value Amount 39a
- Value Amount 39b
- Value Amount 39c
- Value Amount 39d
- Value Amount 40a
- Value Amount 40b
- Value Amount 40c
- Value Amount 40d
- Value Amount 41a
- Value Amount 41b
- Value Amount 41c
- Value Amount 41d
- Value Code 39a
- Value Code 39b
- Value Code 39c
- Value Code 39d
- Value Code 40a
- Value Code 40b
- Value Code 40c
- Value Code 40d
- Value Code 41a
- Value Code 41b
- Value Code 41c
- Value Code 41d