EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 4050
X12 Release
4010
4020
4030
4040
4050
4060
5010
5030
5050
6020
6040
7010
7030
7050
8010
5020
5040
6010
6030
6050
7020
7040
7060
Schedule demo
X12 Release 4050
X12 Release
4010
4020
4030
4040
4050
4060
5010
5030
5050
6020
6040
7010
7030
7050
8010
5020
5040
6010
6030
6050
7020
7040
7060
Transaction Sets
Segments
Elements
EDI-Dictionary
4050
1319
1319
Basis of Cost Determination Code
Batch
Code indicating the method by which the ingredient cost was calculated
Element Details
Type
ID
Length
Min 1 / Max 2
Codes
<>
7
Usual, Customary, and Reasonable (UCR)
<>
0
Not specified
<>
1
Average Wholesale Price (AWP)
<>
4
Estimated Acquisition Cost
<>
2
Local Wholesaler
<>
5
Acquisition Cost
<>
8
Unit Dose
<>
3
Direct
<>
6
Maximum Allowable Cost (MAC)
<>
9
Brand Medically Necessary