PS1 Purchase Service
To specify the information about services that are purchased
Position
Element
Name
Type
Requirement
Min
Max
Repeat
PS1-01
Reference Number
String (AN)
Mandatory
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
PS101 is provider identification number.
PS1-02
Monetary Amount
Decimal number (R)
Mandatory
1
15
-
Monetary amount.
PS102 is cost of the purchased service.
PS1-03
State or Province Code
Identifier (ID)
Optional
2
2
-
Code (Standard State/Province) as defined by appropriate government agency.
PS103 is the state where the service is purchased.