EDI Dictionary
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X12 Release 4010
X12 Release
4010
4020
4030
4040
4050
4060
5010
5020
5030
5040
5050
6010
6020
6030
6040
6050
7010
7020
7030
7040
7050
7060
8010
Transaction Sets
Segments
Elements
EDI-Dictionary
4010
1473
1473
Pricing Methodology
Batch
Code specifying pricing methodology at which the claim or line item has been priced or repriced
Element Details
Type
ID
Length
Min 2 / Max 2
Codes
<>
07
Flat Rate Pricing
<>
13
Cost Reimbursed
<>
14
Adjustment Pricing
<>
00
Zero Pricing (Not Covered Under Contract)
<>
12
Ratio of Cost
<>
01
Priced as Billed at 100%
<>
04
Bundled Pricing
<>
02
Priced at the Standard Fee Schedule
<>
05
Peer Review Pricing
<>
08
Combination Pricing
<>
11
Lower of Cost
<>
03
Priced at a Contractual Percentage
<>
06
Per Diem Pricing
<>
10
Other Pricing
<>
09
Maternity Pricing