HL7 Model Viewer - ADJ

Type : ADJ.CONTENT

Definition
Segment Description:

Parents
a\MFN_Znn\MFN_Znn\MF_SITE_DEFINED\anyHL7Segment
a\EHC_E01\EHC_E01\INVOICE_INFORMATION_SUBMIT\EHC_E01\PRODUCT_SERVICE_SECTION\EHC_E01\PRODUCT_SERVICE_GROUP\EHC_E01\PRODUCT_SERVICE_LINE_ITEM
a\EHC_E10\EHC_E10\INVOICE_PROCESSING_RESULTS_INFO\EHC_E10\PRODUCT_SERVICE_SECTION\EHC_E10\PRODUCT_SERVICE_GROUP\EHC_E10\PRODUCT_SERVICE_LINE_INFO
a\EHC_E15\EHC_E15\ADJUSTMENT_PAYEE
a\EHC_E15\EHC_E15\PAYMENT_REMITTANCE_DETAIL_INFO\EHC_E15\PRODUCT_SERVICE_SECTION\EHC_E15\PRODUCT_SERVICE_GROUP\EHC_E15\PSL_ITEM_INFO
a\EHC_E20\EHC_E20\AUTHORIZATION_REQUEST\EHC_E20\PSL_ITEM_INFO
a\EHC_E24\EHC_E24\AUTHORIZATION_RESPONSE_INFO\EHC_E24\PSL_ITEM_INFO

Elements
ADJ.1_Provider_Adjustment_NumberParent Segment: ADJ
Sequential Number: 1
Description: Provider Adjustment Number
Data Type: EI
Item ID: 2003
ADJ.2_Payer_Adjustment_NumberParent Segment: ADJ
Sequential Number: 2
Description: Payer Adjustment Number
Data Type: EI
Item ID: 2004
ADJ.3_Adjustment_Sequence_NumberParent Segment: ADJ
Sequential Number: 3
Description: Adjustment Sequence Number
Data Type: SI
Item ID: 2005
ADJ.4_Adjustment_CategoryParent Segment: ADJ
Sequential Number: 4
Description: Adjustment Category
Data Type: CWE
Item ID: 2006
Table: 0564
ADJ.5_Adjustment_AmountParent Segment: ADJ
Sequential Number: 5
Description: Adjustment Amount
Data Type: CP
Item ID: 2007
ADJ.6_Adjustment_QuantityParent Segment: ADJ
Sequential Number: 6
Description: Adjustment Quantity
Data Type: CQ
Item ID: 2008
Table: 0560
ADJ.7_Adjustment_Reason_PAParent Segment: ADJ
Sequential Number: 7
Description: Adjustment Reason PA
Data Type: CWE
Item ID: 2009
Table: 0565
ADJ.8_Adjustment_DescriptionParent Segment: ADJ
Sequential Number: 8
Description: Adjustment Description
Data Type: ST
Item ID: 2010
ADJ.9_Original_ValueParent Segment: ADJ
Sequential Number: 9
Description: Original Value
Data Type: NM
Item ID: 2011
ADJ.10_Substitute_ValueParent Segment: ADJ
Sequential Number: 10
Description: Substitute Value
Data Type: NM
Item ID: 2012
ADJ.11_Adjustment_ActionParent Segment: ADJ
Sequential Number: 11
Description: Adjustment Action
Data Type: CWE
Item ID: 2013
Table: 0569
ADJ.12_Provider_Adjustment_Number_Cross_ReferenceParent Segment: ADJ
Sequential Number: 12
Description: Provider Adjustment Number Cross Reference
Data Type: EI
Item ID: 2014
ADJ.13_Provider_Product_Service_Line_Item_Number_Cross_ReferenceParent Segment: ADJ
Sequential Number: 13
Description: Provider Product/Service Line Item Number Cross Reference
Data Type: EI
Item ID: 2015
ADJ.14_Adjustment_DateParent Segment: ADJ
Sequential Number: 14
Description: Adjustment Date
Data Type: DTM
Item ID: 2016
ADJ.15_Responsible_OrganizationParent Segment: ADJ
Sequential Number: 15
Description: Responsible Organization
Data Type: XON
Item ID: 2017
any