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Segment
in
X12 Release 003030

TS2 Transaction Supplemental Statistics

To provide supplemental summary control information by provider fiscal year and bill type
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
782
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
TS201 is the total Diagnosis Related Group (DRG) amount.
02
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
TS202 is the total federal specific amount.
03
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
TS203 is the total hospital specific amount.
04
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
TS204 is the total disproportionate share amount.
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
TS205 is the total capital amount.
06
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
TS206 is the total indirect medical education amount.
07
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
TS207 is the total number of outlier days.
08
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
TS208 is the total day outlier amount.
09
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
TS209 is the total cost outlier amount.
10
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
TS210 is the Diagnosis Related Group (DRG) average length of stay.
11
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
TS211 is the total number of discharges.
12
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
TS212 is the total number of cost report days.
13
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
TS213 is the total number of covered days.
14
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
TS214 is total number of non-covered days.
15
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
TS215 is the total Medicare Secondary Payer (MSP) pass- through amount calculated for a non-Medicare payer.
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Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.