Detail - Supporting Evidence for Claim

Detail - Supporting Evidence for Claim (F09) defines 12 elements, 2 syntax rules, and 2 semantic notes. Sign up free or login to view the full segment and download it in Markdown or console (text) formats.

Elements

380 F09-01

Quantity

Decimal (R) R Required 1/15

355 F09-02

Unit or Basis for Measurement Code

Identifier (ID) R Required 2/2

536 F09-03

Nature of Claim Code

Identifier (ID) R Required 2/2

610 F09-04

Amount

Numeric - Two Decimals (N2) R Required 1/15

610 F09-05

Amount

Numeric - Two Decimals (N2) R Required 1/15

352 F09-06

Description

Alphanumeric (AN) O Optional 1/80

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