- Code identifying the type of facility where services were performed; the first and second positions of the Uniform Bill Type code or the Place of Service code from the Electronic Media Claims National Standard Format
- This element is mandatory for hospital bills. Valid values are:
- 11 = hospital inpatient
- 13 = outpatient hospital
- Data transmitted in this element on a bill for professional services will result in the rejection of the bill.
- Code identifying the type of facility referenced
- This element is only valid for hospital bills. Data transmitted in this element on a bill for professional services will result in rejection of the bill.
- Uniform Billing Claim Form Bill Type
- Code specifying the frequency of the claim; this is the third position of the Uniform Billing Claim Form Bill Type
This element is only valid for hospital bills. Valid values:
- 1 = admit through discharge
- 2 = interim bill (first)
- 3 = interim bill (subsequent)
- 4 = interim bill (last)
Facility Code Qualifier C02302 1332 O ID 1/2
Claim Frequency Type Code C02303 1325 O ID 1/1