Segment
X12 EDI Release 00401
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 (7)
  • SSS02559Agency Qualifier Code
    ID
    M必须(Mandatory)

    Code identifying the agency assigning the code values

    Codes (176)
  • SSS03560Special Services Code
    ID
    M必须(Mandatory)

    Code identifying the special service

    Codes (168)
  • 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 15

    Allowance or Charge Rate per Unit

  • SSS06610Amount
    N
    O可选(Optional)
    Min 1 / Max 15

    Monetary amount

  • 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