PTA
Policy Type
Composite
The P10 event is used to communicate Ambulatory Payment Classification (APC) grouping. The grouping can be estimated or actual, based on the APC status indictor in GP1-1. This information is mandated in the USA by the Health Care Financing Administration (HCFA) for reimbursement of outpatient services. The PID and PV1 segments are included for identification purposes only. When other important fields change, it is recommended that the A08 (update patient information) event be used in addition.
The error segment indicates the fields that caused a transaction to be rejected.
3
| Comp# | Comp TBL | ||||||
|---|---|---|---|---|---|---|---|
| 1 | 103 | O | - | PTA.1 | policy type | ||
| 2 | 104 | O | - | PTA.2 | amount class | ||
| 3 | 122 | O | - | - | PTA.3 | amount |
Used In Segment Fields