Draft| Used by 0 transactions and 1 template, Uses 1 template | ||||||||||||||||
|
| Item | DT | Card | Conf | Description | Label |
|---|---|---|---|---|---|
| hl7v2:GP1.1 | IS | 1 … 1 | Type of Bill Code | GP1_ ment | |
| @Item | 0 … 1 | F | 1599 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70455 | ||
| @LongName | 0 … 1 | F | Type of Bill Code | ||
| hl7v2:GP1.2 | IS | 0 … * | Revenue Code | GP1_ment | |
| @Item | 0 … 1 | F | 1600 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70456 | ||
| @LongName | 0 … 1 | F | Revenue Code | ||
| hl7v2:GP1.3 | IS | 0 … 1 | Overall Claim Disposition Code | GP1_ment | |
| @Item | 0 … 1 | F | 1601 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70457 | ||
| @LongName | 0 … 1 | F | Overall Claim Disposition Code | ||
| hl7v2:GP1.4 | IS | 0 … * | OCE Edits per Visit Code | GP1_ment | |
| @Item | 0 … 1 | F | 1602 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70458 | ||
| @LongName | 0 … 1 | F | OCE Edits per Visit Code | ||
| hl7v2:GP1.5 | CP | 0 … 1 | Outlier Cost Contains 2.16.840.1.113883.3.1937.99.60.4.15.8 (DYNAMIC) | GP1_ment | |
| @Item | 0 … 1 | F | 387 | ||
| @Type | 0 … 1 | F | CP | ||
| @LongName | 0 … 1 | F | Outlier Cost | ||