1473Pricing Methodology

Batch

Code specifying pricing methodology at which the claim or line item has been priced or repriced

Element Details

Type ID
LengthMin 2 / Max 2
Codes
  • <>07Flat Rate Pricing
  • <>13Cost Reimbursed
  • <>14Adjustment Pricing
  • <>00Zero Pricing (Not Covered Under Contract)
  • <>12Ratio of Cost
  • <>01Priced as Billed at 100%
  • <>04Bundled Pricing
  • <>02Priced at the Standard Fee Schedule
  • <>05Peer Review Pricing
  • <>08Combination Pricing
  • <>11Lower of Cost
  • <>03Priced at a Contractual Percentage
  • <>06Per Diem Pricing
  • <>10Other Pricing
  • <>09Maternity Pricing