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Sub-Field: 361.1157

Package: Integrated Billing

EXPLANATION OF BENEFITS(#361.1)-->361.115-->361.1157

Sub-Field: 361.1157


Information

Parent File Name Number Package
361.115 SERVICE PAYMENT QUALIFIER 361.1157 Integrated Billing

Details

Field # Name Loc Type Details
.01 SERVICE PAYMENT QUALIFIER 0;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
    MAXIMUM LENGTH: 3
  • LAST EDITED:  NOV 01, 2019
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This is the Service Payment Qualifier data as received on the 43 record of the 835 ERA.
  • CROSS-REFERENCE:  361.1157^B
    1)= S ^IBM(361.1,DA(2),15,DA(1),7,"B",$E(X,1,30),DA)=""
    2)= K ^IBM(361.1,DA(2),15,DA(1),7,"B",$E(X,1,30),DA)
.02 REFERENCE IDENTIFICATION 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
    MAXIMUM LENGTH: 50
  • LAST EDITED:  NOV 01, 2019
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    This is the Reference Identification data as received on the 43 record of the 835 ERA.
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