Elements

• ALC015463ALLOWANCE OR CHARGE QUALIFIER

  ID

  M必须(Mandatory)

  Codes (2)
• ALC02C552ALLOWANCE/CHARGE INFORMATIONO可选(Optional)

  12305189

  • ALC02011230Allowance or charge number

    AN

    O可选(Optional)

    Min 1 / Max 35

  • ALC02025189Charge/allowance description, coded

    ID

    O可选(Optional)

    Codes (8)
• ALC034471SETTLEMENT, CODED

  ID

  O可选(Optional)

  Codes (6)
• ALC041227CALCULATION SEQUENCE INDICATOR, CODED

  ID

  O可选(Optional)

  Codes (9)
• ALC05C214SPECIAL SERVICES IDENTIFICATIONO可选(Optional)

  7161113130557160

  • ALC05017161Special services, coded

    ID

    M必须(Mandatory)

    Codes (6)
  • ALC05021131Code list qualifier

    ID

    O可选(Optional)

    Codes (0)
  • ALC05033055Code list responsible agency, coded

    ID

    O可选(Optional)

    Codes (1)
  • ALC05047160Special service

    AN

    O可选(Optional)

    Min 1 / Max 35