11/21/2021
(ASC X12) C042 Adjustment Identifier
To provide the category and identifying reference information for an adjustment
Elements
| Position | Element | Name | Type | Requirement | Min | Max | Repeat |
| C04201 | 1271 | Industry Code | Alphanumeric(AN) | Mandatory | 1 | 30 | |
| C04202 | 127 | Reference Identification | Alphanumeric(AN) | Optional | 1 | 80 |
Appears in
| ANSI X12 PLB | Provider Level Adjustment |
Categories: