01152
Reimbursement Limit
2007-10-26
Definition: This field contains the dollar limit for reimbursement specified by the coverage plan for the authorized treatment.
Length≤25
6 components
| 1 | R | - | Price | |
| 2 | O | Price Type | ||
| 3 | O | - | From Value | |
| 4 | O | - | To Value | |
| 5 | O | - | Range Units | |
| 6 | O | Range Type |