E025 Basis of service information

To identify the basis of service including the type, date and charge.

Position
Element
Name
Type
Requirement
Min
Max
Repeat
010
Service basis code qualifier
String (AN)
Mandatory
1
3
-
Code qualifying the basis on which a service is performed.
020
Product identifier
String (AN)
Mandatory
1
35
-
To identify a product.
030
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.
040
Date or time or period text
String (AN)
Conditional
1
35
-
The value of a date, a date and time, a time or of a period in a specified representation.
050
Date or time or period format code
String (AN)
Conditional
1
3
-
Code specifying the representation of a date, time or period.
060
Monetary amount
Numeric (N)
Conditional
1
35
-
To specify a monetary amount.

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