Facility Code Value C02301 1331 M AN 1/2

Facility Code Value C02301 1331 M AN 1/2

  • 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. 1 = admit through discharge
  2. 2 = interim bill (first)
  3. 3 = interim bill (subsequent)
  4. 4 = interim bill (last)
Rev/Code (required in Procedure Library) Four digit code starting with a zero - List of Rev Codes

Facility Code Qualifier C02302 1332 O ID 1/2

Claim Frequency Type Code C02303 1325 O ID 1/1

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