I012 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.

Interactive

Elements

PositionElementNameTypeMin/MaxRepeat
I012-17707Facility Code QualifierMandatoryAlphanumeric1/31
I012-27704Facility Code ValueMandatoryAlphanumeric1/31
I012-37709Claim Frequency Type, codedRelAlphanumeric1/31

Element Details

ID7707
NameFacility Code Qualifier
LengthMin 1 / Max 3