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Sub-Field: 162.13

Package: Fee Basis

FEE BASIS PAYMENT(#162)-->162.01-->162.02-->162.03-->162.09-->162.13

Sub-Field: 162.13


Information

Parent File Name Number Package
162.09 CLAIM LEVEL ADJUSTMENTS 162.13 Fee Basis

Details

Field # Name Loc Type Details
.01 CLAIM ADJUSTMENT GROUP CODE 0;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
    MAXIMUM LENGTH: 2
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    Claim Adjustment Group Code.
  • TECHNICAL DESCR:  
    Claim Adjustment Group Code (X12, #2320, CAS01).
  • CROSS-REFERENCE:  162.13^B
    1)= S ^FBAAC(DA(5),1,DA(4),1,DA(3),1,DA(2),6,DA(1),1,"B",$E(X,1,30),DA)=""
    2)= K ^FBAAC(DA(5),1,DA(4),1,DA(3),1,DA(2),6,DA(1),1,"B",$E(X,1,30),DA)
1.01 ADJ REASON CODE 1 1;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<1) X
    MAXIMUM LENGTH: 5
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-5 characters in length.
  • DESCRIPTION:  
    Adjustment Reason Code 1 (required).
  • TECHNICAL DESCR:  
    Adjustment Reason Code 1 (X12, #2320, CAS02 - required).
1.02 ADJ REASON CODE 2 1;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<1) X
    MAXIMUM LENGTH: 5
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-5 characters in length.
  • DESCRIPTION:  
    Adjustment Reason Code 2.
  • TECHNICAL DESCR:  
    Adjustment Reason Code 2 (X12, #2320, CAS05).
1.03 ADJ REASON CODE 3 1;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<1) X
    MAXIMUM LENGTH: 5
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-5 characters in length.
  • DESCRIPTION:  
    Adjustment Reason Code 3.
  • TECHNICAL DESCR:  
    Adjustment Reason Code 3 (X12, #2320, CAS08).
1.04 ADJ REASON CODE 4 1;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<1) X
    MAXIMUM LENGTH: 5
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-5 characters in length.
  • DESCRIPTION:  
    Adjustment Reason Code 4.
  • TECHNICAL DESCR:  
    Adjustment Reason Code 4 (X12, #2320, CAS11).
1.05 ADJ REASON CODE 5 1;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<1) X
    MAXIMUM LENGTH: 5
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-5 characters in length.
  • DESCRIPTION:  
    Adjustment Reason Code 5.
  • TECHNICAL DESCR:  
    Adjustment Reason Code 5 (X12, #2320, CAS14).
1.06 ADJ REASON CODE 6 1;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<1) X
    MAXIMUM LENGTH: 5
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-5 characters in length.
  • DESCRIPTION:  
    Adjustment Reason Code 6.
  • TECHNICAL DESCR:  
    Adjustment Reason Code 6 (X12, #2320, CAS17).
2.01 ADJ AMOUNT 1 2;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>18!($L(X)<1) X
    MAXIMUM LENGTH: 18
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-18 characters in length.
  • DESCRIPTION:  
    Adjustment Amount 1 - required.
  • TECHNICAL DESCR:  
    Adjustment Amount (X12, #2320, CAS03 - required).
2.02 ADJ AMOUNT 2 2;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>18!($L(X)<1) X
    MAXIMUM LENGTH: 18
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-18 characters in length.
  • DESCRIPTION:  
    Adjustment Amount 2.
  • TECHNICAL DESCR:  
    Adjustment Amount 2 (X12, #2320, CAS06).
2.03 ADJ AMOUNT 3 2;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>18!($L(X)<1) X
    MAXIMUM LENGTH: 18
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-18 characters in length.
  • DESCRIPTION:  
    Adjustment Amount 3.
  • TECHNICAL DESCR:  
    Adjustment Amount 3 (X12, #2320, CAS09).
2.04 ADJ AMOUNT 4 2;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>18!($L(X)<1) X
    MAXIMUM LENGTH: 18
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-18 characters in length.
  • DESCRIPTION:  
    Adjustment Amount 4.
  • TECHNICAL DESCR:  
    Adjustment Amount 4 (X12, #2320, CAS12).
2.05 ADJ AMOUNT 5 2;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>18!($L(X)<1) X
    MAXIMUM LENGTH: 18
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-18 characters in length.
  • DESCRIPTION:  
    Adjustment Amount 5.
  • TECHNICAL DESCR:  
    Adjustment Amount 5 (X12, #2320, CAS15).
2.06 ADJ AMOUNT 6 2;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>18!($L(X)<1) X
    MAXIMUM LENGTH: 18
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-18 characters in length.
  • DESCRIPTION:  
    Adjustment Amount 6.
  • TECHNICAL DESCR:  
    Adjustment Amount 6 (X12, #2320, CAS18).
3.01 ADJ QUANTITY 1 3;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
    MAXIMUM LENGTH: 15
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    Adjustment Quantity 1 (required).
  • TECHNICAL DESCR:  
    Adjustment Quantity 1 (X12, #2320, CAS04).
3.02 ADJ QUANTITY 2 3;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
    MAXIMUM LENGTH: 15
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    Adjustment Quantity 2.
  • TECHNICAL DESCR:  
    Adjustment Quantity 2 (X12, #2320, CAS07).
3.03 ADJ QUANTITY 3 3;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
    MAXIMUM LENGTH: 15
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    Adjustment Quantity 3.
  • TECHNICAL DESCR:  
    Adjustment Quantity 3 (X12, #2320, CAS10).
3.04 ADJ QUANTITY 4 3;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
    MAXIMUM LENGTH: 15
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    Adjustment Quantity 4.
  • TECHNICAL DESCR:  
    Adjustment Quantity 4 (X12, #2320, CAS13).
3.05 ADJ QUANTITY 5 3;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
    MAXIMUM LENGTH: 15
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    Adjustment Quantity 5.
  • TECHNICAL DESCR:  
    Adjustment Quantity 5 (X12, #2320, CAS16).
3.06 ADJ QUANTITY 6 3;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
    MAXIMUM LENGTH: 15
  • LAST EDITED:  APR 17, 2017
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    Adjustment Quantity 6.
  • TECHNICAL DESCR:  
    Adjustment Quantity 6 (X12, #2320, CAS19).
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