1473 Pricing Methodology

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

Batch

Element Details

Type ID

LengthMin 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