ALC Allowance or charge

SegmentBatch

To identify allowance or charge details.

Elements

Position

Element

Name

Requirement

Type

Min/Max

Repeat

Allowance or charge qualifier

Mandatory

1/3

Allowance/charge information

Opt

10	1230	Allowance or charge number	Opt	Alphanumeric	1/35	1
20	5189	Charge/allowance description, coded	Opt	ID	1/3	1

Settlement, coded

Opt

1/3

Calculation sequence indicator, coded

Opt

1/3

Special services identification

Opt

10	7161	Special services, coded	Opt	ID	1/3	1
20	1131	Code list qualifier	Opt	ID	1/3	1
30	3055	Code list responsible agency, coded	Opt	ID	1/3	1
40	7160	Special service	Opt	Alphanumeric	1/35	1
50	7160	Special service	Opt	Alphanumeric	1/35	1

ID5463NameAllowance or charge qualifierLength1/3Position10TypeIDRequirementMandatoryCodes

<>A
Self explanatory.
<>L
Charge is related to all line items in a message as a default charge. it may be overridden per line item.
<>K
Charge is related to the entire message.
<>V
Self explanatory.
<>X
Highest possible value; maximum; not exceeding; up to.
<>G
Allowance is related to all line items in a message as a default allowance. it may be overridden per line item.
<>B
The total for items other than those primarily reported upon in the message.
<>T
The greater/lesser value expressed in percentage.
<>S
The greater value expressed in amount.
<>E
Self explanatory.
<>O
To be construed as allowing a difference not exceeding 10 % more or 10 % less than the amount which it refers.
<>J
Self explanatory.
<>Q
The lesser value expressed in amount.
<>F
Allowance is related to the entire message.
<>M
Charge is related to a line item. it can override a default charge.
<>H
Allowance is related to a line item. it can override a default allowance.
<>W
Self explanatory.
<>R
The greater value expressed in percentage.
<>Y
Indicates that this is the exact amount.
<>D
Self explanatory.
<>C
Self explanatory.
<>N
No increases or reduction in price (list or stated) are included.
<>U
The greater/lesser value expressed in amount.
<>P
The lesser value expressed in percentage.