Segment
X12 EDI Release 00504
To specify the information about services that are purchased
Elements
  • PS101127Reference Identification
    AN
    M必须(Mandatory)
    Min 1 / Max 80

    Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

  • PS102782Monetary Amount
    R
    M必须(Mandatory)
    Min 1 / Max 18

    Monetary amount

  • PS103156State or Province Code
    ID
    O可选(Optional)
    Min 2 / Max 2

    Code (Standard State/Province) as defined by appropriate government agency