Provider Level Adjustment

Provider Level Adjustment (PLB) defines 14 elements, 5 syntax rules, and 14 semantic notes. Sign up free or login to view the full segment and download it in Markdown or console (text) formats.

Elements

127 PLB-01

Reference Identification

Alphanumeric (AN) R Required 1/80

373 PLB-02

Date

Date (DT) R Required 8/8

C042 PLB-03

Adjustment Identifier

N/A R Required -/-

782 PLB-04

Monetary Amount

Decimal (R) R Required 1/18

C042 PLB-05

Adjustment Identifier

N/A O Optional -/-

782 PLB-06

Monetary Amount

Decimal (R) O Optional 1/18

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See every element, syntax rule, and semantic note for Provider Level Adjustment. Download it as a diagram or Markdown, or use the tedi CLI to access the full X12 reference from your terminal.