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

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