GP1

Grouping/Reimbursement - Visit

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

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

5
C.LenElementv2.6
1--CWER1045501599GP1-1Type of Bill Code2
2--CWEO*045601600GP1-2Revenue Code2
3--CWEO1045701601GP1-3Overall Claim Disposition Code2
4--CWEO*045801602GP1-4OCE Edits per Visit Code2
5--CPO1-00387GP1-5Outlier CostLength
Used In Message Structures