| Directory | Messages | Segments | Composites | Data elements | Codes | Meaning of the change indicators |
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| To identify allowance or charge details. |
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| 010 |
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5463 | Allowance or charge code qualifier | M | 1 | an..3 | |||||||||
| 020 |
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C552 | Allowance/charge information | C | 1 | |||||||||
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C | 1 | an..35 | |||||||||
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C | 1 | an..3 | |||||||||
| 030 |
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4471 | Settlement means code | C | 1 | an..3 | |||||||||
| 040 |
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1227 | Calculation sequence code | C | 1 | an..3 | |||||||||
| 050 |
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C214 | Special services identification | C | 1 | |||||||||
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C | 1 | an..3 | |||||||||
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C | 1 | an..17 | |||||||||
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C | 1 | an..3 | |||||||||
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C | 1 | an..35 | |||||||||
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C | 1 | an..35 |
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