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Sub-Field: 365.27

Package: Integrated Billing

IIV RESPONSE(#365)-->365.02-->365.27

Sub-Field: 365.27


Information

Parent File Name Number Package
365.02 HEALTHCARE SERVICES DELIVERY 365.27 Integrated Billing

Details

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

  • INPUT TRANSFORM:  K:+X'=X!(X>99999)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  SEP 11, 2009
  • HELP-PROMPT:  Type a number between 1 and 99999, 0 Decimal Digits.
  • DESCRIPTION:  
    Sequential entry number.
  • TECHNICAL DESCR:  
    Sequential number of ZHS segment.
  • CROSS-REFERENCE:  365.27^B
    1)= S ^IBCN(365,DA(2),2,DA(1),7,"B",$E(X,1,30),DA)=""
    2)= K ^IBCN(365,DA(2),2,DA(1),7,"B",$E(X,1,30),DA)
.02 BENEFIT QUANTITY 0;2 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99999)!(X<0)!(X?.E1"."4.N) X
  • LAST EDITED:  APR 28, 2010
  • HELP-PROMPT:  Type a number between 0 and 99999, 3 Decimal Digits.
  • DESCRIPTION:  
    Numeric value of benefit quantity as qualified by QUANTITY QUALIFIER field.
  • TECHNICAL DESCR:  
    Source: 271 HL7 message, ZHS.3
.03 QUANTITY QUALIFIER 0;3 POINTER TO X12 271 QUANTITY QUALIFIER FILE (#365.016) X12 271 QUANTITY QUALIFIER(#365.016)

  • LAST EDITED:  MAY 02, 2013
  • HELP-PROMPT:  Select benefit quantity qualifier.
  • DESCRIPTION:  
    Benefit quantity qualifier.
  • TECHNICAL DESCR:  
    Source: 271 HL7 message, ZHS.2.1
.04 SAMPLE SELECTION MODULUS 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>6!($L(X)<1) X
  • LAST EDITED:  APR 28, 2010
  • HELP-PROMPT:  Answer must be 1-6 characters in length.
  • DESCRIPTION:  
    Sampling frequency in terms of a modulus of the Unit of Measure. Qualified by UNITS OF MEASUREMENT field.
  • TECHNICAL DESCR:  
    Source: 271 HL7 message, ZHS.5
.05 UNITS OF MEASUREMENT 0;5 POINTER TO X12 271 UNITS OF MEASUREMENT FILE (#365.029) X12 271 UNITS OF MEASUREMENT(#365.029)

  • LAST EDITED:  MAR 07, 2013
  • HELP-PROMPT:  Select units of measurement.
  • DESCRIPTION:  
    Units of measurement for frequency of the benefits.
  • TECHNICAL DESCR:  
    Source: 271 HL7 message, ZHS.4.1
.06 TIME PERIODS 0;6 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99999)!(X<0)!(X?.E1"."3.N) X
  • LAST EDITED:  APR 28, 2010
  • HELP-PROMPT:  Type a number between 0 and 99999, 2 Decimal Digits.
  • DESCRIPTION:  
    Number of time periods as qualified by TIME PERIOD QUALIFIER field.
  • TECHNICAL DESCR:  
    Source: 271 HL7 message, ZHS.7
.07 TIME PERIOD QUALIFIER 0;7 POINTER TO X12 271 TIME PERIOD QUALIFIER FILE (#365.015) X12 271 TIME PERIOD QUALIFIER(#365.015)

  • LAST EDITED:  MAY 02, 2013
  • HELP-PROMPT:  Select qualifier for the time period.
  • DESCRIPTION:  
    Code that defines a time period.
  • TECHNICAL DESCR:  
    Source: 271 HL7 message, ZHS.6.1
.08 DELIVERY FREQUENCY 0;8 POINTER TO X12 271 DELIVERY FREQUENCY CODE FILE (#365.025) X12 271 DELIVERY FREQUENCY CODE(#365.025)

  • LAST EDITED:  MAR 07, 2013
  • HELP-PROMPT:  Select code for delivery frequency.
  • DESCRIPTION:  
    Code that defines frequency of deliveries.
  • TECHNICAL DESCR:  
    Source: 271 HL7 message, ZHS.8.1
.09 DELIVERY PATTERN 0;9 POINTER TO X12 271 DELIVERY PATTERN FILE (#365.036) X12 271 DELIVERY PATTERN(#365.036)

  • LAST EDITED:  MAR 07, 2013
  • HELP-PROMPT:  Select delivery pattern.
  • DESCRIPTION:  
    Code that defines pattern of deliveries.
  • TECHNICAL DESCR:  
    Source: 271 HL7 message, ZHS.9.1
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