Segments

Segment D01A/ALC

ALLOWANCE OR CHARGE

To identify allowance or charge details.

Segment structure

5463       ALLOWANCE OR CHARGE CODE QUALIFIER       M   an1..3
C552       ALLOWANCE/CHARGE INFORMATION             C
   1230    Allowance or charge identifier           C   an1..35
   5189    Allowance or charge identification code  C   an1..3
4471       SETTLEMENT MEANS CODE                    C   an1..3
1227       CALCULATION SEQUENCE CODE                C   an1..3
C214       SPECIAL SERVICES IDENTIFICATION          C
   7161    Special service description code         C   an1..3
   1131    Code list identification code            C   an1..17
   3055    Code list responsible agency code        C   an1..3
   7160    Special service description              C   an1..35
   7160    Special service description              C   an1..35