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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
Encounter UB-92 Data Field Descriptions for Form and Label Templates
File Maintenance Help for NextGen® Enterprise 8
Appointment/Encounter Information Data Field Descriptions for Form and Label Templates
The following table lists the Data Repository data fields for appointment/encounter information. Appointment/Encounter Information is represented by the data field icon. Data Fields Description Encounter Appointment Date Encounter Appointment Date Location Address Appointment Location Location Address 2 Location Address 2 Location City, State Zip Appointment Location City, State Zip *Location Name Appointment Location Name Location Phone Appointment Location Phone Number Referring Physician Referring Physician Rendering Physician Rendering Physician Rendering Provider Address 1 Rendering Provider Address 1 Rendering Provider Address 2 Rendering Provider Address 2 Rendering Provider Business Phone Rendering Provider Business Phone Rendering Provider City, State Zip Rendering Provider City, State Zip Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates
File Maintenance Help for NextGen® Enterprise 8
Encounter Information Data Field Descriptions for Form and Label Templates
The following table lists the Data Repository data fields and sub-data fields for encounter information. The sub-data fields are Encounter Primary, Encounter Secondary, and Encounter Tertiary. Encounter Information is represented by the data field icon. Data Fields Admitting Physician Enc Rendering Prov Address 1 Enc Rendering Prov Address 2 Enc Rendering Prov City Enc Rendering Prov City, State Zip Enc Rendering Prov State Enc Rendering Prov Zip Encounter Adjustments Encounter Admit Date Encounter Admit Time Encounter All Insurance Balance Encounter Attending Encounter Authorization Nbr Primary Encounter Authorization Nbr Secondary Encounter Authorization Nbr Tertiary Encounter Balance Encounter Balance (including unposted transactions) Encounter Charges Encounter Complaint Encounter Date Encounter Discharge Date Encounter Discharge Time Encounter Facility Address Encounter Facility Fax Number Encounter Facility Name Encounter Facility Phone Number Encounter ID (Barcode) Encounter Ins
File Maintenance Help for NextGen® Enterprise 8
Fee Ticket Options Data Fields for Form and Label Templates
Data Repository data fields for Fee Ticket Options. Create Date Fee Ticket Body (Practice L... Fee Ticket User-Defined Fi... Last Global Expiration Date Prev Diag Code And Desc 1 Prev Diag Code And Desc 2 Prev Diag Code And Desc 3 Prev Diag Code And Desc 4 Prev Diag Code And Desc 5 Prev Diag Code And Desc 6 Prev Diag Code And Desc 7 Prev Diag Code And Desc 8 Prev Diag Code And Desc 9 Sequence # Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates
File Maintenance Help for NextGen® Enterprise
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 Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates
File Maintenance Help for NextGen® Enterprise 8
Data Field Descriptions for Form, Form Enhanced, and Label Templates
Tables in the the following sections list the available data fields in the Data Repository that you can use to customize your form templates and label templates. The * icon indicates that there is more than one data field format option to choose from for this data field. Refer to the table in the following section for the exact data fields that have multiple format options and an explanation of each format. The + icon indicates that any user-defined patient providers that you set up for use in the Provider Practice Preferences will be added to and will appear in the data repository. The ++ icon indicates that any user-defined fields that you set up for use in the Practice Preferences window will be added to and will appear in the data repository. Account Information Data Field Descriptions for Form and Label Templates Data Repository data fields description for Account Information. Appointment Information Data Field Descriptions for Form and Label Templates Data Repository data fields
File Maintenance Help for NextGen® Enterprise
Data Field Descriptions for Form, Form Enhanced, and Label Templates
Tables in the the following sections list the available data fields in the Data Repository that you can use to customize your form templates and label templates. The * icon indicates that there is more than one data field format option to choose from for this data field. Refer to the table in the following section for the exact data fields that have multiple format options and an explanation of each format. The + icon indicates that any user-defined patient providers that you set up for use in the Provider Practice Preferences will be added to and will appear in the data repository. The ++ icon indicates that any user-defined fields that you set up for use in the Practice Preferences window will be added to and will appear in the data repository. Account Information Data Field Descriptions for Form and Label Templates Data Repository data fields description for Account Information. Appointment Information Data Field Descriptions for Form and Label Templates Data Repository data fields
