ALC Allowance or charge

To identify allowance or charge details.

Position: 010 · Element: 5463 · Name: Allowance or charge code qualifier · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 3 · Repeat: 1

Code qualifying an allowance or charge.

020 C552 Allowance/charge information Composite (composite) Conditional 1

Position: 010 · Element: 1230 · Name: Allowance or charge identifier · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 35 · Repeat: -

To identify an allowance or charge.

Position: 020 · Element: 5189 · Name: Allowance or charge identification code · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 3 · Repeat: -

Code specifying the identification of an allowance or charge.

Position: 030 · Element: 4471 · Name: Settlement means code · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 3 · Repeat: 1

Code specifying the means of settlement.

Position: 040 · Element: 1227 · Name: Calculation sequence code · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 3 · Repeat: 1

Code specifying a calculation sequence.

050 C214 Special services identification Composite (composite) Conditional 1

Position: 010 · Element: 7161 · Name: Special service description code · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 3 · Repeat: -

Code specifying a special service.

Position: 020 · Element: 1131 · Name: Code list identification code · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 17 · Repeat: -

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.

Position: 030 · Element: 3055 · Name: Code list responsible agency code · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 3 · Repeat: -

Code specifying the agency responsible for a code list.

Position: 040 · Element: 7160 · Name: Special service description · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 35 · Repeat: -

Free form description of a special service.

Position: 050 · Element: 7160 · Name: Special service description · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 35 · Repeat: -

Free form description of a special service.

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