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(ASC X12) 1473 Pricing Methodology


Code specifying pricing methodology at which the claim or line item has been priced or repriced


0 Zero Pricing (Not Covered Under Contract)
1 Priced as Billed at 100%
2 Priced at the Standard Fee Schedule
3 Priced at a Contractual Percentage
4 Bundled Pricing
5 Peer Review Pricing
6 Per Diem Pricing
7 Flat Rate Pricing
8 Combination Pricing
9 Maternity Pricing
10 Other Pricing
11 Lower of Cost
12 Ratio of Cost
13 Cost Reimbursed
14 Adjustment Pricing

Appears in

HCPHealth Care Pricing
Review post

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