Segment
X12 EDI Release 00304
To specify special conditions or services associated with the purchased product
Elements
  • SSS01248Allowance or Charge Indicator
    ID
    M必须(Mandatory)

    Code which indicates an allowance or charge for the service specified.

    Codes (4)
  • SSS02559Agency Qualifier Code
    ID
    M必须(Mandatory)

    Code identifying the agency assigning the code values.

    Codes (80)
  • SSS03560Special Services Code
    ID
    M必须(Mandatory)

    Code identifying the special service.

    Codes (151)
  • SSS04561Service Marks and Numbers
    AN
    O可选(Optional)
    Min 1 / Max 45

    Data used to identify the performance of the service specified by Special Services Code (560).

  • SSS05359Allowance or Charge Rate
    R
    O可选(Optional)
    Min 1 / Max 9

    Allowance or Charge Rate per Unit.

  • SSS06360Allowance or Charge Total Amount
    N
    O可选(Optional)
    Min 1 / Max 9

    Total dollar amount for the allowance or charge.

  • SSS07352Description
    AN
    O可选(Optional)
    Min 1 / Max 80

    A free-form description to clarify the related data elements and their content.

  • SSS08380Quantity
    R
    O可选(Optional)
    Min 1 / Max 15

    Numeric value of quantity.

  • SSS09822Source Subqualifier
    AN
    O可选(Optional)
    Min 1 / Max 15

    A reference that indicates the table or text maintained by the Source Qualifier.