BLI Billable information
BLI Billable information
Position
Element
Name
Type
Requirement
Min
Max
Repeat
010
Monetary amount value
Numeric (N)
Conditional
1
35
-
To specify the value of a monetary amount.
020
Diagnosis
Composite (composite)
Conditional
9
010
Product identifier
String (AN)
Mandatory
1
35
-
To identify a product.
020
Diagnosis type code
String (AN)
Conditional
1
3
-
Code specifying the type of diagnosis.
030
Code list identification code
String (AN)
Conditional
1
3
-
Identification of a code list.
030
Date/time/period
Composite (composite)
Conditional
9
010
Date/time/period function code qualifier
String (AN)
Mandatory
1
3
-
Code giving specific meaning to a date, time or period.
020
Date/time/period value
String (AN)
Conditional
1
35
-
The value of a date, a date and time, a time or of a period in a specified representation.
030
Date/time/period format code
String (AN)
Conditional
1
3
-
Code specifying the representation of a date, time or period.
040
Object identifier
String (AN)
Conditional
1
35
-
Code specifying the unique identity of an object.
050
Yes no code
String (AN)
Conditional
1
3
-
Code specifying either a yes or no.
060
Related cause
Composite (composite)
Conditional
9
010
Related cause code
String (AN)
Conditional
1
3
-
Code specifying a related cause.
020
Date value
String (AN)
Conditional
1
14
-
To specify a date value.
030
Country sub-entity name code
String (AN)
Conditional
1
9
-
Identification of the name of sub-entities (state, province) defined by appropriate governmental agencies.