ALC ALLOWANCE OR CHARGE Function: To identify allowance or charge details. 010 5463 ALLOWANCE OR CHARGE QUALIFIER M an..3 020 C552 ALLOWANCE/CHARGE INFORMATION C 1230 Allowance or charge number C an..35 5189 Charge/allowance description, coded C an..3 030 4471 SETTLEMENT, CODED C an..3 040 1227 CALCULATION SEQUENCE INDICATOR, CODED C an..3 050 C214 SPECIAL SERVICES IDENTIFICATION C 7161 Special services, coded C an..3 1131 Code list qualifier C an..3 3055 Code list responsible agency, coded C an..3 7160 Special service C an..35
Index of D.95A segments