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X12 008020 Release
Transaction Set
Segments
Elements
Reference
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X12 Release 008020
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Elements
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1473 Pricing Methodology Code
1473 Pricing Methodology Code
Code specifying pricing methodology at which the claim or line item has been priced or repriced
Type
ID
Length
Max 2 / Min 2
Codes
<> 00
Zero Pricing (Not Covered Under Contract)
<> 01
Priced as Billed at 100%
<> 02
Priced at the Standard Fee Schedule
<> 03
Priced at a Contractual Percentage
<> 04
Bundled Pricing
<> 05
Peer Review Pricing
<> 06
Per Diem Pricing
<> 07
Flat Rate Pricing
<> 08
Combination Pricing
<> 09
Maternity Pricing
<> 10
Other Pricing
<> 11
Lower of Cost
<> 12
Ratio of Cost
<> 13
Cost Reimbursed
<> 14
Adjustment Pricing