Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
Service, Promotion, Allowance, or Charge Code
Identifier (ID)
Mandatory
4
4
1
Code identifying the service, promotion, allowance, or charge
02
Service, Promotion, Allowance, or Charge Code
Identifier (ID)
Optional
4
4
1
Code identifying the service, promotion, allowance, or charge