02015
Provider Product/Service Line Item Number Cross Reference
2014-03-17
Definition: Unique Provider Product/Service Line Item Number assigned by the Provider Application that is referenced by this Payer Adjustment; used for groups with multiple line items that need to be singled out by a Payer Adjustment.
LengthNot specified
4 components
| 1 | O | - | Entity Identifier | |
| 2 | O | Namespace ID | ||
| 3 | C | - | Universal ID | |
| 4 | C | Universal ID Type |