02014
Provider Adjustment Number Cross Reference
2007-10-26
Definition: Unique Provider Adjustment Number assigned by the Provider Application that is referenced by this Payer Adjustment.
Length≤73
4 components
| 1 | O | - | Entity Identifier | |
| 2 | O | Namespace ID | ||
| 3 | C | - | Universal ID | |
| 4 | C | Universal ID Type |