To specify special conditions or services associated with the purchased product
Position | Element | Name | Type | Min/Max | Repeat | |
---|---|---|---|---|---|---|
1 | 248 | Allowance or Charge Indicator | Mandatory | ID | 1/1 | AtMax 1 |
2 | 559 | Agency Qualifier Code | Mandatory | ID | 2/2 | AtMax 1 |
3 | 560 | Special Services Code | Mandatory | ID | 2/10 | AtMax 1 |
4 | 561 | Service Marks and Numbers | Opt | Alphanumeric | 1/45 | AtMax 1 |
5 | 359 | Allowance or Charge Rate | Opt | Decimal | 1/15 | AtMax 1 |
6 | 610 | Amount | Opt | Number | 1/15 | AtMax 1 |
7 | 352 | Description | Opt | Alphanumeric | 1/80 | AtMax 1 |
8 | 380 | Quantity | Opt | Decimal | 1/15 | AtMax 1 |
9 | 822 | Source Subqualifier | Opt | Alphanumeric | 1/15 | AtMax 1 |