| Global Profile (Snapshot) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Cardinality | Vocabulary | Data Type | |||
 UB2 | ||||||||||
  | 1 | 00553 | Set ID - UB2 | MAY | [0..1] | SI Sequence ID | ||||
| 2 | 00554 | Co-Insurance Days (9) | MAY | [0..1] | ST String Data | ||||
| 3 | 00555 | Condition Code (24-30) | MAY | [0..7] | ConditionCode (CD) | CWE Coded with Exceptions | |||
| 4 | 00556 | Covered Days (7) | MAY | [0..1] | ST String Data | ||||
| 5 | 00557 | Non-Covered Days (8) | MAY | [0..1] | ST String Data | ||||
| 6 | 00558 | Value Amount & Code (39-41) | MAY | [0..12] | UVC UB Value Code and Amount | ||||
| 7 | 00559 | Occurrence Code & Date (32-35) | MAY | [0..8] | OCD Occurrence Code and Date | ||||
| 8 | 00560 | Occurrence Span Code/Dates (36) | MAY | [0..2] | OSP Occurrence Span Code and Date | ||||
| 9 | 00561 | Uniform Billing Locator 2 (state) | MAY | [0..2] | ST String Data | ||||
| 10 | 00562 | Uniform Billing Locator 11 (state) | MAY | [0..2] | ST String Data | ||||
| 11 | 00563 | Uniform Billing Locator 31 (national) | MAY | [0..1] | ST String Data | ||||
| 12 | 00564 | Document Control Number | MAY | [0..3] | ST String Data | ||||
| 13 | 00565 | Uniform Billing Locator 49 (national) | MAY | [0..23] | ST String Data | ||||
| 14 | 00566 | Uniform Billing Locator 56 (state) | MAY | [0..5] | ST String Data | ||||
| 15 | 00567 | Uniform Billing Locator 57 (sational) | MAY | [0..1] | ST String Data | ||||
| 16 | 00568 | Uniform Billing Locator 78 (state) | MAY | [0..2] | ST String Data | ||||
 | 17 | 00815 | Special Visit Count | MAY | [0..1] | NM Numeric | ||||
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