Global Profile (Snapshot) | ||||||||||
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Seq# | Data Element | Description | Flags | Implement | Cardinality | Vocabulary | Data Type | |||
GP2 | ||||||||||
1 | 01600 | Revenue Code | MAY | [0..1] | US: RevenueCode (CD) | CWE Coded with Exceptions | ||||
2 | 01604 | Number of Service Units | = Truncation allowed. | MAY | [0..1] | NM Numeric | ||||
3 | 01605 | Charge | MAY | [0..1] | CP Composite Price | |||||
4 | 01606 | Reimbursement Action Code | MAY | [0..1] | ex.:ReimbursementActionCode (CD) hl7VS-reimbursementActionCode (VS) cms-OCEEditCode-cs (CS) | CWE Coded with Exceptions | ||||
5 | 01607 | Denial or Rejection Code | MAY | [0..1] | DenialOrRejectionCode (CD) hl7VS-denialOrRejectionCode (VS) denialOrRejectionType (CS) | CWE Coded with Exceptions | ||||
6 | 01608 | OCE Edit Code | MAY | [0..*] | OceEditCode (CD) | CWE Coded with Exceptions | ||||
7 | 01609 | Ambulatory Payment Classification Code | MAY | [0..1] | AmbulatoryPaymentClassificationCode (CD) hl7VS-ambulatoryPaymentClassificationCode (VS) ambulatoryPaymentClassification (CS) | CWE Coded with Exceptions | ||||
8 | 01610 | Modifier Edit Code | MAY | [0..*] | ModifierEditCode (CD) | CWE Coded with Exceptions | ||||
9 | 01611 | Payment Adjustment Code | MAY | [0..1] | PaymentAdjustmentCode (CD) hl7VS-paymentAdjustmentCode (VS) paymentAdjustmentInformation (CS) | CWE Coded with Exceptions | ||||
10 | 01617 | Packaging Status Code | MAY | [0..1] | ex.:PackagingStatusCode (CD) hl7VS-packagingStatusCode (VS) packagingStatus (CS) | CWE Coded with Exceptions | ||||
11 | 01618 | Expected CMS Payment Amount | MAY | [0..1] | CP Composite Price | |||||
12 | 01619 | Reimbursement Type Code | MAY | [0..1] | ReimbursementTypeCode (CD) hl7VS-reimbursementTypeCode (VS) reimbursementType (CS) | CWE Coded with Exceptions | ||||
13 | 01620 | Co-Pay Amount | MAY | [0..1] | CP Composite Price | |||||
14 | 01621 | Pay Rate per Service Unit | = Truncation not allowed! | MAY | [0..1] | NM Numeric |