BLI - |
Billable information |
| Function: | To provide billable information for a claim or encounter. | |
| This segment also occurs in the following versions of this standard: D99B, D00A, D00B, D01A, D01B, D01C, D02A, D02B, D03A, D03B, D04A, D04B | ||
| Pos | Segment | M/C | Repeat | Repr. | Notes | ||
|---|---|---|---|---|---|---|---|
| 010 | 5004 | Monetary amount | C | 3 | n..35 | ||
| 020 | E029 | DIAGNOSIS | C | 9 | |||
| 7135 | Product identifier | M | an..35 | ||||
| 9623 | Diagnosis type code | C | an..3 | ||||
| 1131 | Code list identification code | C | an..17 | ||||
| 030 | E507 | DATE/TIME/PERIOD | C | 9 | |||
| 2005 | Date or time or period function code qualifier | M | an..3 | ||||
| 2380 | Date or time or period value | C | an..35 | ||||
| 2379 | Date or time or period format code | C | an..3 | ||||
| 040 | 7402 | Object identifier | C | 5 | an..35 | ||
| 050 | 9607 | Yes or no indicator code | C | 3 | an..3 | ||
| 060 | E028 | RELATED CAUSE | C | 9 | |||
| 9625 | Related cause code | C | an..3 | ||||
| 2000 | Date | C | an..14 | ||||
| 3229 | Country sub-entity name code | C | an..9 | ||||
| Pos | Position |
|---|---|
| M/C | Mandatory or Conditional |
| Repr. | Representation (Data or Content Type) |
| Segment BLI is used in the following messages: | |||||||
|---|---|---|---|---|---|---|---|
| IHCLME | |||||||