JID Equipment Detail
To specify equipment charged within a particular service code
Position
Element
Name
Type
Requirement
Min
Max
Repeat
JID-01
Product/Service ID Qualifier
Identifier (ID)
Mandatory
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
JID-02
Product/Service ID
String (AN)
Mandatory
1
80
-
Identifying number for a product or service
JID-03
Quantity
Decimal number (R)
Conditional
1
15
-
Numeric value of quantity
JID-04
Optional
-
JID-05
Product/Service Condition Code
Identifier (ID)
Optional
2
2
-
Code identifying condition of product/service
JID-06
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount