Change Request Detail
Type of Request
Institutional Claim (UB-92)
DSMO Process Completed
Business Reason
ASC X12 TR3 005010X223 for submitting institutional claims or encounter reports (837i) permits the inclusion of Value Information in multiple HI segments with HInn composite -01 containing a value of "BE".  When such segments are present, HInn composite -02 may contain a value that identifies any NUBC code list.  Data values from any such NUBC code list are presently only permitted to be stored in HInn composite -05; which is data type R and intended to contain Monetary Amounts.  ASC X12 Data type R requires suppression of leading zeroes.  Unfortunately, some NUBC code list values contain leading zeroes which are either significant or required by the NUBC coding rules.  For example, see NUBC code list 45 for Accident Hour.  When NUBC code lists data values with significant leading zeroes are desired to be included, a conflict between the NUBC coding rules and ASC X12 data type R is created.
Add language to the description of HInn composite -02 that requires use of HInn composites that are suitable to the type of NUBC code list data values being included in a transaction, and make HInn composites -03, -04, -06, -07, -08, and -09 Situational rather than Not Used.  Additionally, make HInn composite -05 Situational rather than Required.
DSMO Category
Approve. X12 will process the data maintenance required and define the technical solution for inclusion in a future version.
Appeal Recommendation