C023 Health Care Service Location Information
C023 Health Care Service Location Information
To provide information that identifies the place of service or the type of bill related to the location at which a health care service was rendered
Position
Element
Name
Type
Requirement
Min
Max
Repeat
C023-01
Facility Code Value
String (AN)
Mandatory
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
C023-02
Facility Code Qualifier
Identifier (ID)
Optional
1
2
-
Code identifying the type of facility referenced
C023-02 qualifies C023-01 and C023-03.
C023-03
Claim Frequency Type Code
Identifier (ID)
Optional
1
1
-
Code specifying the frequency of the claim; this is the third position of the Uniform Billing Claim Form Bill Type