To supply provider-level control information
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
TS301 is the provider number.
Code identifying where services were, or may be, performed; the first and second positions of the Uniform Bill Type Code for Institutional Services or the Place of Service Codes for Professional or Dental Services.
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
TS303 is the last day of the provider's fiscal year.
Numeric value of quantity
TS304 is the total number of claims.
Monetary amount
TS305 is the total of reported charges.
Monetary amount
TS306 is the total of covered charges.
Monetary amount
TS307 is the total of noncovered charges.
Monetary amount
TS308 is the total of denied charges.
Monetary amount
TS309 is the total provider payment.
Monetary amount
TS310 is the total amount of interest paid.
Monetary amount
TS311 is the total contractual adjustment.
Monetary amount
TS312 is the total Gramm-Rudman Reduction.
Monetary amount
TS313 is the total Medicare Secondary Payer (MSP) primary payer amount.
Monetary amount
TS314 is the total blood deductible amount in dollars.
Monetary amount
TS315 is the summary of non-lab charges.
Monetary amount
TS316 is the total coinsurance amount.
Monetary amount
TS317 is the Health Care Financing Administration Common Procedural Coding System (HCPCS) reported charges.
Monetary amount
TS318 is the total Health Care Financing Administration Common Procedural Coding System (HCPCS) payable amount.
Monetary amount
TS319 is the total deductible amount.
Monetary amount
TS320 is the total professional component amount.
Monetary amount
TS321 is the total Medicare Secondary Payer (MSP) patient liability met.
Monetary amount
TS322 is the total patient reimbursement.
Numeric value of quantity
TS323 is the total periodic interim payment (PIP) number of claims.
Monetary amount
TS324 is total periodic interim payment (PIP) adjustment.
