Segment
X12 EDI Release 00305
To specify allowances, charges or services
Elements
  • ITA01248Allowance or Charge Indicator
    ID
    M必须(Mandatory)

    Code which indicates an allowance or charge for the service specified.

    Codes (4)
  • ITA02559Agency Qualifier Code
    ID
    O可选(Optional)

    Code identifying the agency assigning the code values.

    Codes (93)
  • ITA03560Special Services Code
    ID
    O可选(Optional)

    Code identifying the special service.

    Codes (161)
  • ITA04331Allowance or Charge Method of Handling Code
    ID
    M必须(Mandatory)

    Code indicating method of handling for an allowance or charge.

    Codes (22)
  • ITA05341Allowance or Charge Number
    AN
    O可选(Optional)
    Min 1 / Max 16

    The number assigned by a vendor referencing an allowance, promotion, deal or charge.

  • ITA06359Allowance or Charge Rate
    R
    O可选(Optional)
    Min 1 / Max 9

    Allowance or Charge Rate per Unit.

  • ITA07360Allowance or Charge Total Amount
    N
    O可选(Optional)
    Min 1 / Max 9

    Total dollar amount for the allowance or charge.

  • ITA08378Allowance/ Charge Percent Qualifier
    ID
    O可选(Optional)

    Code indicating on what basis allowance or charge percent is calculated.

    Codes (11)
  • ITA09332Percent
    R
    O可选(Optional)
    Min 1 / Max 6

    Percent expressed as a percent

  • ITA10380Quantity
    R
    O可选(Optional)
    Min 1 / Max 15

    Numeric value of quantity.

  • ITA11355Unit or Basis for Measurement Code
    ID
    O可选(Optional)

    Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

    Codes (726)
  • ITA12380Quantity
    R
    O可选(Optional)
    Min 1 / Max 15

    Numeric value of quantity.

  • ITA13352Description
    AN
    O可选(Optional)
    Min 1 / Max 80

    A free-form description to clarify the related data elements and their content.

  • ITA14150Special Charge or Allowance Code
    ID
    O可选(Optional)

    Code identifying type of special charge or allowance.

    Codes (965)
  • ITA15822Source Subqualifier
    AN
    O可选(Optional)
    Min 1 / Max 15

    A reference that indicates the table or text maintained by the Source Qualifier.

  • ITA16662Relationship Code
    ID
    O可选(Optional)

    Code indicating the relationship between entities

    Codes (5)