02004
Payer Adjustment Number
2020-01-06
Definition: Unique Adjustment Number assigned by the Payer Application.
LengthNot specified
4 components
| 1 | O | - | Entity Identifier | |
| 2 | O | Namespace ID | ||
| 3 | C | - | Universal ID | |
| 4 | C | Universal ID Type |
| 1 | O | - | Entity Identifier | |
| 2 | O | Namespace ID | ||
| 3 | C | - | Universal ID | |
| 4 | C | Universal ID Type |