Segments

Segment D96A/ALC

ALLOWANCE OR CHARGE

To identify allowance or charge details.

Segment structure

5463       ALLOWANCE OR CHARGE QUALIFIER            M   an1..3
C552       ALLOWANCE/CHARGE INFORMATION             C
   1230    Allowance or charge number               C   an1..35
   5189    Charge/allowance description, coded      C   an1..3
4471       SETTLEMENT, CODED                        C   an1..3
1227       CALCULATION SEQUENCE INDICATOR, CODED    C   an1..3
C214       SPECIAL SERVICES IDENTIFICATION          C
   7161    Special services, coded                  C   an1..3
   1131    Code list qualifier                      C   an1..3
   3055    Code list responsible agency, coded      C   an1..3
   7160    Special service                          C   an1..35
   7160    Special service                          C   an1..35