01955
Provider Product/Service Line Item Number
2015-07-13
Definition: Unique Product/Service Line Item Number assigned by the Provider Application.
LengthNot specified
4 components
| 1 | O | - | Entity Identifier | |
| 2 | O | Namespace ID | ||
| 3 | C | - | Universal ID | |
| 4 | C | Universal ID Type |