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Sub-Field: 361.1156

Package: Integrated Billing

EXPLANATION OF BENEFITS(#361.1)-->361.115-->361.1156

Sub-Field: 361.1156


Information

Parent File Name Number Package
361.115 SERVICE SUPPLEMENTAL QUANTITY 361.1156 Integrated Billing

Details

Field # Name Loc Type Details
.01 SEQUENCE NUMBER 0;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>5)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 01, 2019
  • HELP-PROMPT:  Type a number between 1 and 5, 0 decimal digits.
  • DESCRIPTION:  
    This is the sequence number of the service supplemental quantity as received on the 41 record of the 835 ERA, pieces 5 through 9.
  • CROSS-REFERENCE:  361.1156^B
    1)= S ^IBM(361.1,DA(2),15,DA(1),6,"B",$E(X,1,30),DA)=""
    2)= K ^IBM(361.1,DA(2),15,DA(1),6,"B",$E(X,1,30),DA)
.02 SERVICE SUPPLEMENTAL QUANTITY 0;2 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."10N.N) X
  • LAST EDITED:  NOV 01, 2019
  • HELP-PROMPT:  Type a number between 0 and 999999999, 9 decimal digits.
  • DESCRIPTION:  
    This is the service supplemental quantity as received on one of the pieces 5 through 9 of the 41 record of the 835 ERA.
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