| Global Profile (Snapshot) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Cardinality | Vocabulary | Data Type | |||
 UB1 | ||||||||||
  | 1 | 00530 | Set ID - UB1 | W withdrawn Element | SHOULD NOT | SI Sequence ID | ||||
| 2 | 00531 | Blood Deductible | W withdrawn Element | SHOULD NOT | |||||
| 3 | 00532 | Blood Furnished-Pints | W withdrawn Element | SHOULD NOT | |||||
| 4 | 00533 | Blood Replaced-Pints | W withdrawn Element | SHOULD NOT | |||||
| 5 | 00534 | Blood Not Replaced-Pints | W withdrawn Element | SHOULD NOT | |||||
| 6 | 00535 | Co-Insurance Days | W withdrawn Element | SHOULD NOT | |||||
| 7 | 00536 | Condition Code | W withdrawn Element | SHOULD NOT | |||||
| 8 | 00537 | Covered Days | W withdrawn Element | SHOULD NOT | |||||
| 9 | 00538 | Non Covered Days | W withdrawn Element | SHOULD NOT | |||||
| 10 | 00539 | Value Amount & Code | W withdrawn Element | SHOULD NOT | |||||
| 11 | 00540 | Number Of Grace Days | W withdrawn Element | SHOULD NOT | |||||
| 12 | 00541 | Special Program Indicator | W withdrawn Element | SHOULD NOT | |||||
| 13 | 00542 | PSRO/UR Approval Indicator | W withdrawn Element | SHOULD NOT | |||||
| 14 | 00543 | PSRO/UR Approved Stay-Fm | W withdrawn Element | SHOULD NOT | |||||
| 15 | 00544 | PSRO/UR Approved Stay-To | W withdrawn Element | SHOULD NOT | |||||
| 16 | 00545 | Occurrence | W withdrawn Element | SHOULD NOT | |||||
| 17 | 00546 | Occurrence Span | W withdrawn Element | SHOULD NOT | |||||
| 18 | 00547 | Occur Span Start Date | W withdrawn Element | SHOULD NOT | |||||
| 19 | 00548 | Occur Span End Date | W withdrawn Element | SHOULD NOT | |||||
| 20 | 00549 | UB-82 Locator 2 | W withdrawn Element | SHOULD NOT | |||||
| 21 | 00550 | UB-82 Locator 9 | W withdrawn Element | SHOULD NOT | |||||
| 22 | 00551 | UB-82 Locator 27 | W withdrawn Element | SHOULD NOT | |||||
 | 23 | 00552 | UB-82 Locator 45 | W withdrawn Element | SHOULD NOT | |||||
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