Identifier used to track a claim from creation by the health care provider through payment

Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization

Monetary amount

Monetary amount

Monetary amount

Code identifying type of claim

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

Code identifying where services were, or may be, performed; the National Uniform Billing Committee (NUBC) Facility Type Code for Institutional Services or the Place of Service Codes for Professional or Dental Services.

This is the Type of Bill Frequency Code. It is the last digit of Type of Bill in the UB manual, as defined by the National Uniform Billing Committee.

Code indicating patient status as of the "statement covers through date"

Code indicating a patient's diagnosis group based on a patient's illness, diseases, and medical problems

Numeric value of quantity

Percentage expressed as a decimal (e.g., 0.0 through 1.0 represents 0% through 100%)

Code indicating a Yes or No condition or response

Value to be used as a multiplier conversion factor to convert monetary value from one currency to another