Optional
_detailOptional
_factorPrice scaling factor
Optional
_itemItem sequence number
Optional
_noteApplicable note numbers
Optional
_servicedDate or dates of service or product delivery
Optional
_subdetailSubdetail sequence number
Added items adjudication
Optional
bodyAnatomical location
Optional
detailInsurer added line details
Optional
detailDetail sequence number
Optional
extensionAdditional content defined by implementations
Optional
factorPrice scaling factor
Optional
idUnique id for inter-element referencing
Optional
itemItem sequence number
Optional
locationPlace of service or where product was supplied
Optional
locationPlace of service or where product was supplied
Optional
locationPlace of service or where product was supplied
Optional
modifierService/Product billing modifiers
Optional
modifierExtensions that cannot be ignored even if unrecognized
Optional
netTotal item cost
Optional
noteApplicable note numbers
Billing, service, product, or drug code
Optional
programProgram the product or service is provided under
Optional
providerAuthorized providers
Optional
quantityCount of products or services
Optional
servicedDate or dates of service or product delivery
Optional
servicedDate or dates of service or product delivery
Optional
subdetailSubdetail sequence number
Optional
subAnatomical sub-location
Optional
unitFee, charge or cost per item
Detail sequence number