Elements

• ITA01248Allowance or Charge Indicator

  ID

  M必须(Mandatory)

  Codes (3)
• ITA02559Association Qualifier Code

  ID

  O可选(Optional)

  Codes (15)
• ITA03560Special Services Code

  ID

  O可选(Optional)

  Codes (117)
• ITA04331Allowance or Charge Method of Handling Code

  ID

  M必须(Mandatory)

  Codes (9)
• ITA05341Allowance or Charge Number

  AN

  O可选(Optional)

  Min 1 / Max 16

• ITA06359Allowance or Charge Rate

  R

  O可选(Optional)

  Min 1 / Max 9

• ITA07360Allowance or Charge Total Amount

  N

  O可选(Optional)

  Min 1 / Max 9

• ITA08378Allowance/ Charge Percent Qualifier

  ID

  O可选(Optional)

  Codes (8)
• ITA09332Allowance or Charge Percent

  R

  O可选(Optional)

  Min 1 / Max 6

• ITA10339Allowance or Charge Quantity

  R

  O可选(Optional)

  Min 1 / Max 10

• ITA11355Unit of Measurement Code

  ID

  O可选(Optional)

  Codes (404)
• ITA12380Quantity

  R

  O可选(Optional)

  Min 1 / Max 10

• ITA13352Description

  AN

  O可选(Optional)

  Min 1 / Max 80

• ITA14150Special Charge Code

  ID

  O可选(Optional)

  Codes (644)