G38 Claim Payment Information
To indicate the payment amount and reason for disposal of unsalable product
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
Monetary Amount
Decimal number (R)
Mandatory
1
18
1
Monetary amount
G3801 is the amount of payment for the claim.
02
Payment Method Code
Identifier (ID)
Optional
3
3
1
Code identifying the method for the movement of payment instructions
03
Returns Disposition Code
Identifier (ID)
Optional
2
2
1
Code indicating the disposition of a contested item