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

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

Monetary amount

PS102 is cost of the purchased service.

PS103

State or Province Code

Identifier (ID)

Optional

Code specifying the Standard State/Province as defined by appropriate government agency

PS103 is the state where the service is purchased.