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Factors: Things are the person pieces of information in just a phase. Each element is separated by a delimiter, as well as component's situation within the segment decides its this means. Elements is usually either easy or composite, with composite factors that contains sub-aspects.

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'Not normally classified' or 'unlisted' method code (CPT/HCPCS) was billed when You can find a particular technique code for this procedure/provider

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Prior contractual reductions related to a present periodic payment as Portion of a contractual payment plan when deferred quantities are Beforehand claimed. (Use only with Team Code OA)

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This type just isn't used to request maintenance (revisions) to X12 goods or to post remarks connected to an internal or public assessment period of time.

A technological report that addresses the usage of a number of transaction sets for a single unique organization intent as a way to aid dependable transaction set implementation inside of an marketplace or sub-industry.

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The assert/provider has been transferred to the appropriate payer/processor for processing. Declare/support not covered by this payer/processor.

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