GP1

Grouping/Reimbursement - Visit

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2.3.1May1999

2.4Oct2000

2.5Aug2003

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These fields are used in grouping and reimbursement for HCFA APCs. Please refer to the "Outpatient Prospective Payment System Final Rule" ("OPPS Final Rule") issued by HCFA.

The GP1 segment is specific to the US and may not be implemented in non-US systems.

RRequiredOOptionalCConditionalWWithdrawn|#Date/Time*Backward compat.+Filler

		C.Len						Element		v2.3.1
1	..3	-	IS	R	1	0455	01599	GP1-1	Type of Bill Code	NEW
2	..3	-	IS	O	*	0456	01600	GP1-2	Revenue Code	NEW
3	..1	-	IS	O	1	0457	01601	GP1-3	Overall Claim Disposition Code	NEW
4	..2	-	IS	O	*	0458	01602	GP1-4	OCE Edits per Visit Code	NEW
5	..12	-	CP	O	1	-	00387	GP1-5	Outlier Cost	NEW

Used In Message Structures