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Data Element Name:  Non-Covered Days
Format-Length:  N - 4 Required For:  IP
Effective Date:  1/1/94 Revision Date:  September 2003
National Standard Mapping:

Electronic - 837I
X12 Loop
Ref. Des.
Data Element
Code
Description
Version 4050R 2300 QTY01 673 NA Non-Covered Days Qualifier
QTY02 380 Non-Covered Days
QTY03-1 355 DA Unit Measurement Code (Days)
Paper Form Locator Code Qualifier
Institutional - UB-04 39-41 N/A

Definition:

The number of days not covered by the payer for this sequence as qualified by the payer organization.

Codes and Values:

  1. Must contain number of non-covered days.

Edit Applications:

  1. The sum of Non-Covered Days and Covered Days must not exceed Total Length of Stay (Statement Covers Period - Thru Date minus Admission Date\Start of Care) for any payer sequence.
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