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: C023-01 · Element: 1331 · Name: Facility Code Value · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 2 · Repeat: -

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

Position: C023-02 · Element: 1332 · Name: Facility Code Qualifier · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 2 · Repeat: -

Code identifying the type of facility referenced

C023-02 qualifies C023-01 and C023-03.

Position: C023-03 · Element: 1325 · Name: Claim Frequency Type Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code specifying the frequency of the claim; this is the third position of the Uniform Billing Claim Form Bill Type