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ITC -

Institutional claim UN/CEFACT Revision 2001A Segment List

	Function:	To provide specific claim information for services performed while admitted to an institution.
	This segment also occurs in the following versions of this standard: D99B, D00A, D00B, D01A, D01B, D01C, D02A, D02B, D03A, D03B, D04A, D04B

Pos	Segment			M/C	Repeat	Repr.	Notes
010		E027	INVOICE TYPE	M	1
		9631	Invoice type code	M		an..3
		2013	Frequency code	C		an..3
020		6060	Quantity	M	4	an..35
030		E026	ADMISSION	M	1
		9445	Admission type description code	C		an..3
		9627	Admission source code	C		an..3
040		9447	Discharge type description code	M	1	an..3
050		E025	BASIS OF SERVICE INFORMATION	C	9
		9641	Service basis code qualifier	M		an..3
		7135	Product identifier	M		an..35
		1131	Code list identification code	C		an..17
		2380	Date or time or period value	C		an..35
		2379	Date or time or period format code	C		an..3
		5004	Monetary amount	C		n..35

Pos	Position
M/C	Mandatory or Conditional
Repr.	Representation (Data or Content Type)

Segment ITC is used in the following messages:
IHCLME

Change indicators
plus sign		An addition.
asterisk		Addition/substraction/change to a code entry for a particular data element.
hash or pound sign		Changes to names.
vertical bar		Changes to text for descriptions, notes and functions.
minus sign		A deletion.
letter X		Marked for deletion.

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