PS1 Purchase Service

To specify the information about services that are purchased

Position
Element
Name
Type
Requirement
Min
Max
Repeat
PS101
Reference Identification
String (AN)
Mandatory
1
50
1
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
PS101 is provider identification number.
PS102
Monetary Amount
Decimal number (R)
Mandatory
1
18
1
Monetary amount
PS102 is cost of the purchased service.
PS103
State or Province Code
Identifier (ID)
Optional
2
2
1
Code (Standard State/Province) as defined by appropriate government agency
PS103 is the state where the service is purchased.

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