ALC Allowance or charge

To identify allowance or charge details.

Position
Element
Name
Type
Requirement
Min
Max
Repeat
010
Allowance or charge code qualifier
String (AN)
Mandatory
1
3
1
Code qualifying an allowance or charge.
020
Allowance/charge information
Composite (composite)
Conditional
1
010
Allowance or charge identifier
String (AN)
Conditional
1
35
-
To identify an allowance or charge.
020
Allowance or charge identification code
String (AN)
Conditional
1
3
-
Code specifying the identification of an allowance or charge.
030
Settlement means code
String (AN)
Conditional
1
3
1
Code specifying the means of settlement.
040
Calculation sequence code
String (AN)
Conditional
1
3
1
Code specifying a calculation sequence.
050
Special services identification
Composite (composite)
Conditional
1
010
Special service description code
String (AN)
Conditional
1
3
-
Code specifying a special service.
020
Code list identification code
String (AN)
Conditional
1
17
-
Code identifying a user or association maintained code list.
1 The codes for this data element are provided by the code list responsible agency defined in data element 3055.
030
Code list responsible agency code
String (AN)
Conditional
1
3
-
Code specifying the agency responsible for a code list.
040
Special service description
String (AN)
Conditional
1
35
-
Free form description of a special service.
050
Special service description
String (AN)
Conditional
1
35
-
Free form description of a special service.

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