E025 Basis of service information

Composite elementInteractive

To identify the basis of service including the type, date and charge.

Elements

PositionElementNameTypeMin/MaxRepeat
E025-109641Service basis code qualifierMandatoryID1/31
E025-207135Product identifierMandatoryAlphanumeric1/351
E025-301131Code list identification codeOptID1/171
E025-402380Date or time or period valueOptAlphanumeric1/351
E025-502379Date or time or period format codeOptID1/31
E025-605004Monetary amountOptDecimal1/201

Element Details

ID9641NameService basis code qualifierLength1/3Codes
  • <>1
    The service was performed based on a condition.
  • <>4
    The service was performed based on a procedure.
  • <>2
    The service was performed based on an occurrence.
  • <>5
    The service was performed based on a value code.
  • <>3
    The service was performed based on an event occurring over a period of time.