E004 Rule details

To indicate the coded rule, a number and it's relation to the rule, a start day of service, a monetary amount associated to the rule, and additional information associated with the rule.

Position
Element
Name
Type
Requirement
Min
Max
Repeat
010
Special condition code
String (AN)
Mandatory
1
3
-
Code specifying a special condition.
020
Units quantity
Numeric (N)
Conditional
1
15
-
To specify the number of units.
030
Unit type code qualifier
String (AN)
Conditional
1
3
-
Code qualifying the type of unit.
040
Relation code
String (AN)
Conditional
1
3
-
Code specifying a relation.
050
Days of week set identifier
String (AN)
Conditional
1
7
-
String data representation of days of the week (Monday = 1).
060
Monetary amount
Numeric (N)
Conditional
1
35
-
To specify a monetary amount.
070
Monetary amount type code qualifier
String (AN)
Conditional
1
3
-
Code qualifying the type of monetary amount.
080
Currency identification code
String (AN)
Conditional
1
3
-
Code specifying a monetary unit.
1 Use ISO 4217 three alpha code.
090
Free text
String (AN)
Conditional
1
512
-
Free form text.
100
Free text
String (AN)
Conditional
1
512
-
Free form text.
110
Free text
String (AN)
Conditional
1
512
-
Free form text.
120
Free text
String (AN)
Conditional
1
512
-
Free form text.
130
Free text
String (AN)
Conditional
1
512
-
Free form text.
140
Free text
String (AN)
Conditional
1
512
-
Free form text.
150
Free text
String (AN)
Conditional
1
512
-
Free form text.
160
Free text
String (AN)
Conditional
1
512
-
Free form text.
170
Free text
String (AN)
Conditional
1
512
-
Free form text.

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