TS2 Transaction Supplemental Statistics

Opt

AtMax 1

To provide supplemental summary control information by provider fiscal year and bill type

Elements

Position	Element	Name		Type	Min/Max	Repeat

1	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
2	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
3	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
4	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
5	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
6	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
7	380	Quantity	Opt	Decimal	1/15	AtMax 1
8	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
9	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
10	380	Quantity	Opt	Decimal	1/15	AtMax 1
11	380	Quantity	Opt	Decimal	1/15	AtMax 1
12	380	Quantity	Opt	Decimal	1/15	AtMax 1
13	380	Quantity	Opt	Decimal	1/15	AtMax 1
14	380	Quantity	Opt	Decimal	1/15	AtMax 1
15	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
16	380	Quantity	Opt	Decimal	1/15	AtMax 1
17	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
18	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
19	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1

ID782

NameMonetary Amount

LengthMin 1 / Max 18

Position1

RequirementOpt