Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Info |  Details |  All
Print Page as PDF
Sub-Field: 162.371

Package: Fee Basis

FEE BASIS PAYMENT(#162)-->162.01-->162.02-->162.03-->162.371

Sub-Field: 162.371


Information

Parent File Name Number Package
162.03 OHI SERVICE LINE INFO 162.371 Fee Basis

Details

Field # Name Loc Type Details
.01 SERVICE LINE NUMBER 0;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
    MAXIMUM LENGTH:   20
  • LAST EDITED:  JUL 05, 2017
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    LX Service Line Number.
  • TECHNICAL DESCR:  
    X12, #2400, Service Line Number, Service Line number information, LX Service Line Number.
  • CROSS-REFERENCE:  162.371^B
    1)= S ^FBAAC(DA(4),1,DA(3),1,DA(2),1,DA(1),11,"B",$E(X,1,30),DA)=""
    2)= K ^FBAAC(DA(4),1,DA(3),1,DA(2),1,DA(1),11,"B",$E(X,1,30),DA)
1 LINE ADJUDICATION INFORMATION 1;0 Multiple #162.3711 162.3711

  • DESCRIPTION:  
    This multiple contains payment and payer information for each payment line for the specific service provided to the patient.
  • TECHNICAL DESCR:  
    X12, #2400, Service Line Number, Line Adjudication Information.
Info |  Details |  All