Level/ Type |
Code |
Display Name |
Code System |
1‑A |
_ActInvoiceAdjudicationPaymentCode
|
ActInvoiceAdjudicationPaymentCode
|
Act Code |
2‑A |
_ActInvoiceAdjudicationPaymentGroupCode
|
ActInvoiceAdjudicationPaymentGroupCode
|
Act Code |
3‑L |
ALEC
|
alternate electronic
|
Act Code |
3‑L |
BONUS
|
bonus
|
Act Code |
3‑L |
CFWD
|
carry forward adjusment
|
Act Code |
3‑L |
EDU
|
education fees
|
Act Code |
3‑L |
EPYMT
|
early payment fee
|
Act Code |
3‑L |
GARN
|
garnishee
|
Act Code |
3‑L |
INVOICE
|
submitted invoice
|
Act Code |
3‑L |
PINV
|
paper invoice
|
Act Code |
3‑L |
PPRD
|
prior period adjustment
|
Act Code |
3‑L |
PROA
|
professional association deduction
|
Act Code |
3‑L |
RECOV
|
recovery
|
Act Code |
3‑L |
RETRO
|
retro adjustment
|
Act Code |
3‑L |
TRAN
|
transaction fee
|
Act Code |
2‑A |
_ActInvoiceAdjudicationPaymentSummaryCode
|
ActInvoiceAdjudicationPaymentSummaryCode
|
Act Code |
3‑L |
CONT
|
contract
|
Act Code |
3‑L |
DAY
|
day
|
Act Code |
3‑L |
LOC
|
location
|
Act Code |
3‑L |
MONTH
|
month
|
Act Code |
3‑L |
PERIOD
|
period
|
Act Code |
3‑L |
PROV
|
provider
|
Act Code |
3‑L |
WEEK
|
week
|
Act Code |
3‑L |
YEAR
|
year
|
Act Code |
3‑L |
INVTYPE
|
invoice type
|
Act Code |
3‑L |
PAYEE
|
payee
|
Act Code |
3‑L |
PAYOR
|
payor
|
Act Code |
3‑L |
SENDAPP
|
sending application
|
Act Code |
1‑A |
_ActInvoiceDetailCode
|
ActInvoiceDetailCode
|
Act Code |
2‑A |
_ActInvoiceDetailClinicalProductCode
|
ActInvoiceDetailClinicalProductCode
|
Act Code |
3‑L |
UNSPSC
|
United Nations Standard Products and Services Classification
|
Act Code |
2‑A |
_ActInvoiceDetailDrugProductCode
|
ActInvoiceDetailDrugProductCode
|
Act Code |
3‑L |
GTIN
|
Global Trade Item Number
|
Act Code |
3‑L |
UPC
|
Universal Product Code
|
Act Code |
2‑A |
_ActInvoiceDetailGenericCode
|
ActInvoiceDetailGenericCode
|
Act Code |
3‑A |
_ActInvoiceDetailGenericAdjudicatorCode
|
ActInvoiceDetailGenericAdjudicatorCode
|
Act Code |
4‑L |
COIN
|
coinsurance
|
Act Code |
4‑L |
COPAYMENT
|
patient co-pay
|
Act Code |
4‑L |
DEDUCTIBLE
|
deductible
|
Act Code |
4‑L |
PAY
|
payment
|
Act Code |
4‑L |
SPEND
|
spend down
|
Act Code |
3‑A |
_ActInvoiceDetailGenericModifierCode
|
ActInvoiceDetailGenericModifierCode
|
Act Code |
4‑L |
AFTHRS
|
non-normal hours
|
Act Code |
4‑L |
ISOL
|
isolation allowance
|
Act Code |
4‑L |
OOO
|
out of office
|
Act Code |
3‑A |
_ActInvoiceDetailGenericProviderCode
|
ActInvoiceDetailGenericProviderCode
|
Act Code |
4‑L |
CANCAPT
|
cancelled appointment
|
Act Code |
4‑L |
DSC
|
discount
|
Act Code |
4‑L |
ESA
|
extraordinary service assessment
|
Act Code |
4‑L |
FFSTOP
|
fee for service top off
|
Act Code |
4‑L |
FNLFEE
|
final fee
|
Act Code |
4‑L |
FRSTFEE
|
first fee
|
Act Code |
4‑L |
MARKUP
|
markup or up-charge
|
Act Code |
4‑L |
MISSAPT
|
missed appointment
|
Act Code |
4‑L |
PERFEE
|
periodic fee
|
Act Code |
4‑L |
PERMBNS
|
performance bonus
|
Act Code |
4‑L |
RESTOCK
|
restocking fee
|
Act Code |
4‑L |
TRAVEL
|
travel
|
Act Code |
4‑L |
URGENT
|
urgent
|
Act Code |
3‑A |
_ActInvoiceDetailTaxCode
|
ActInvoiceDetailTaxCode
|
Act Code |
4‑L |
FST
|
federal sales tax
|
Act Code |
4‑L |
HST
|
harmonized sales Tax
|
Act Code |
4‑L |
PST
|
provincial/state sales tax
|
Act Code |
2‑A |
_ActInvoiceDetailPreferredAccommodationCode
|
ActInvoiceDetailPreferredAccommodationCode
|
Act Code |
3‑A |
_ActEncounterAccommodationCode
|
ActEncounterAccommodationCode
|
Act Code |
4‑A |
_HL7AccommodationCode
|
HL7AccommodationCode
|
Act Code |
5‑L |
I
|
Isolation
|
Act Code |
5‑L |
P
|
Private
|
Act Code |
5‑L |
S
|
Suite
|
Act Code |
5‑L |
SP
|
Semi-private
|
Act Code |
5‑L |
W
|
Ward
|
Act Code |
1‑A |
_ActInvoiceGroupCode
|
ActInvoiceGroupCode
|
Act Code |
2‑A |
_ActInvoiceInterGroupCode
|
ActInvoiceInterGroupCode
|
Act Code |
3‑L |
CPNDDRGING
|
compound drug invoice group
|
Act Code |
3‑L |
CPNDINDING
|
compound ingredient invoice group
|
Act Code |
3‑L |
CPNDSUPING
|
compound supply invoice group
|
Act Code |
3‑L |
DRUGING
|
drug invoice group
|
Act Code |
3‑L |
FRAMEING
|
frame invoice group
|
Act Code |
3‑L |
LENSING
|
lens invoice group
|
Act Code |
3‑L |
PRDING
|
product invoice group
|
Act Code |
2‑A |
_ActInvoiceRootGroupCode
|
ActInvoiceRootGroupCode
|
Act Code |
3‑L |
CPINV
|
clinical product invoice
|
Act Code |
3‑L |
CSINV
|
clinical service invoice
|
Act Code |
3‑L |
CSPINV
|
clinical service and product
|
Act Code |
3‑L |
FININV
|
financial invoice
|
Act Code |
3‑L |
OHSINV
|
oral health service
|
Act Code |
3‑L |
PAINV
|
preferred accommodation invoice
|
Act Code |
3‑L |
RXCINV
|
Rx compound invoice
|
Act Code |
3‑L |
RXDINV
|
Rx dispense invoice
|
Act Code |
3‑L |
SBFINV
|
sessional or block fee invoice
|
Act Code |
3‑L |
VRXINV
|
vision dispense invoice
|
Act Code |
1‑A |
_ActInvoiceInterGroupCode
|
ActInvoiceInterGroupCode
|
Act Code |
2‑L |
CPNDDRGING
|
compound drug invoice group
|
Act Code |
2‑L |
CPNDINDING
|
compound ingredient invoice group
|
Act Code |
2‑L |
CPNDSUPING
|
compound supply invoice group
|
Act Code |
2‑L |
DRUGING
|
drug invoice group
|
Act Code |
2‑L |
FRAMEING
|
frame invoice group
|
Act Code |
2‑L |
LENSING
|
lens invoice group
|
Act Code |
2‑L |
PRDING
|
product invoice group
|
Act Code |
1‑A |
_ActInvoiceRootGroupCode
|
ActInvoiceRootGroupCode
|
Act Code |
2‑L |
CPINV
|
clinical product invoice
|
Act Code |
2‑L |
CSINV
|
clinical service invoice
|
Act Code |
2‑L |
CSPINV
|
clinical service and product
|
Act Code |
2‑L |
FININV
|
financial invoice
|
Act Code |
2‑L |
OHSINV
|
oral health service
|
Act Code |
2‑L |
PAINV
|
preferred accommodation invoice
|
Act Code |
2‑L |
RXCINV
|
Rx compound invoice
|
Act Code |
2‑L |
RXDINV
|
Rx dispense invoice
|
Act Code |
2‑L |
SBFINV
|
sessional or block fee invoice
|
Act Code |
2‑L |
VRXINV
|
vision dispense invoice
|
Act Code |
1‑A |
_ActInvoiceDetailClinicalProductCode
|
ActInvoiceDetailClinicalProductCode
|
Act Code |
2‑L |
UNSPSC
|
United Nations Standard Products and Services Classification
|
Act Code |
1‑A |
_ActInvoiceDetailDrugProductCode
|
ActInvoiceDetailDrugProductCode
|
Act Code |
2‑L |
GTIN
|
Global Trade Item Number
|
Act Code |
2‑L |
UPC
|
Universal Product Code
|
Act Code |
1‑A |
_ActInvoiceDetailGenericCode
|
ActInvoiceDetailGenericCode
|
Act Code |
2‑A |
_ActInvoiceDetailGenericAdjudicatorCode
|
ActInvoiceDetailGenericAdjudicatorCode
|
Act Code |
3‑L |
COIN
|
coinsurance
|
Act Code |
3‑L |
COPAYMENT
|
patient co-pay
|
Act Code |
3‑L |
DEDUCTIBLE
|
deductible
|
Act Code |
3‑L |
PAY
|
payment
|
Act Code |
3‑L |
SPEND
|
spend down
|
Act Code |
2‑A |
_ActInvoiceDetailGenericModifierCode
|
ActInvoiceDetailGenericModifierCode
|
Act Code |
3‑L |
AFTHRS
|
non-normal hours
|
Act Code |
3‑L |
ISOL
|
isolation allowance
|
Act Code |
3‑L |
OOO
|
out of office
|
Act Code |
2‑A |
_ActInvoiceDetailGenericProviderCode
|
ActInvoiceDetailGenericProviderCode
|
Act Code |
3‑L |
CANCAPT
|
cancelled appointment
|
Act Code |
3‑L |
DSC
|
discount
|
Act Code |
3‑L |
ESA
|
extraordinary service assessment
|
Act Code |
3‑L |
FFSTOP
|
fee for service top off
|
Act Code |
3‑L |
FNLFEE
|
final fee
|
Act Code |
3‑L |
FRSTFEE
|
first fee
|
Act Code |
3‑L |
MARKUP
|
markup or up-charge
|
Act Code |
3‑L |
MISSAPT
|
missed appointment
|
Act Code |
3‑L |
PERFEE
|
periodic fee
|
Act Code |
3‑L |
PERMBNS
|
performance bonus
|
Act Code |
3‑L |
RESTOCK
|
restocking fee
|
Act Code |
3‑L |
TRAVEL
|
travel
|
Act Code |
3‑L |
URGENT
|
urgent
|
Act Code |
2‑A |
_ActInvoiceDetailTaxCode
|
ActInvoiceDetailTaxCode
|
Act Code |
3‑L |
FST
|
federal sales tax
|
Act Code |
3‑L |
HST
|
harmonized sales Tax
|
Act Code |
3‑L |
PST
|
provincial/state sales tax
|
Act Code |
1‑A |
_ActInvoiceDetailPreferredAccommodationCode
|
ActInvoiceDetailPreferredAccommodationCode
|
Act Code |
2‑A |
_ActEncounterAccommodationCode
|
ActEncounterAccommodationCode
|
Act Code |
3‑A |
_HL7AccommodationCode
|
HL7AccommodationCode
|
Act Code |
4‑L |
I
|
Isolation
|
Act Code |
4‑L |
P
|
Private
|
Act Code |
4‑L |
S
|
Suite
|
Act Code |
4‑L |
SP
|
Semi-private
|
Act Code |
4‑L |
W
|
Ward
|
Act Code |
1‑L |
GTIN
|
Global Trade Item Number
|
Act Code |
1‑L |
UPC
|
Universal Product Code
|
Act Code |
1‑L |
UNSPSC
|
United Nations Standard Products and Services Classification
|
Act Code |
0‑L |
UNSPSC
|
United Nations Standard Products and Services Classification
|
Act Code |
1‑A |
_ActEncounterAccommodationCode
|
ActEncounterAccommodationCode
|
Act Code |
2‑A |
_HL7AccommodationCode
|
HL7AccommodationCode
|
Act Code |
3‑L |
I
|
Isolation
|
Act Code |
3‑L |
P
|
Private
|
Act Code |
3‑L |
S
|
Suite
|
Act Code |
3‑L |
SP
|
Semi-private
|
Act Code |
3‑L |
W
|
Ward
|
Act Code |
1‑A |
_ActInvoiceDetailGenericAdjudicatorCode
|
ActInvoiceDetailGenericAdjudicatorCode
|
Act Code |
2‑L |
COIN
|
coinsurance
|
Act Code |
2‑L |
COPAYMENT
|
patient co-pay
|
Act Code |
2‑L |
DEDUCTIBLE
|
deductible
|
Act Code |
2‑L |
PAY
|
payment
|
Act Code |
2‑L |
SPEND
|
spend down
|
Act Code |
1‑A |
_ActInvoiceDetailGenericModifierCode
|
ActInvoiceDetailGenericModifierCode
|
Act Code |
2‑L |
AFTHRS
|
non-normal hours
|
Act Code |
2‑L |
ISOL
|
isolation allowance
|
Act Code |
2‑L |
OOO
|
out of office
|
Act Code |
1‑A |
_ActInvoiceDetailGenericProviderCode
|
ActInvoiceDetailGenericProviderCode
|
Act Code |
2‑L |
CANCAPT
|
cancelled appointment
|
Act Code |
2‑L |
DSC
|
discount
|
Act Code |
2‑L |
ESA
|
extraordinary service assessment
|
Act Code |
2‑L |
FFSTOP
|
fee for service top off
|
Act Code |
2‑L |
FNLFEE
|
final fee
|
Act Code |
2‑L |
FRSTFEE
|
first fee
|
Act Code |
2‑L |
MARKUP
|
markup or up-charge
|
Act Code |
2‑L |
MISSAPT
|
missed appointment
|
Act Code |
2‑L |
PERFEE
|
periodic fee
|
Act Code |
2‑L |
PERMBNS
|
performance bonus
|
Act Code |
2‑L |
RESTOCK
|
restocking fee
|
Act Code |
2‑L |
TRAVEL
|
travel
|
Act Code |
2‑L |
URGENT
|
urgent
|
Act Code |
1‑A |
_ActInvoiceDetailTaxCode
|
ActInvoiceDetailTaxCode
|
Act Code |
2‑L |
FST
|
federal sales tax
|
Act Code |
2‑L |
HST
|
harmonized sales Tax
|
Act Code |
2‑L |
PST
|
provincial/state sales tax
|
Act Code |
1‑L |
GTIN
|
Global Trade Item Number
|
Act Code |
1‑L |
UPC
|
Universal Product Code
|
Act Code |
1‑L |
UNSPSC
|
United Nations Standard Products and Services Classification
|
Act Code |
0‑L |
UNSPSC
|
United Nations Standard Products and Services Classification
|
Act Code |
1‑A |
_ActInvoiceDetailGenericAdjudicatorCode
|
ActInvoiceDetailGenericAdjudicatorCode
|
Act Code |
2‑L |
COIN
|
coinsurance
|
Act Code |
2‑L |
COPAYMENT
|
patient co-pay
|
Act Code |
2‑L |
DEDUCTIBLE
|
deductible
|
Act Code |
2‑L |
PAY
|
payment
|
Act Code |
2‑L |
SPEND
|
spend down
|
Act Code |
1‑A |
_ActInvoiceDetailGenericModifierCode
|
ActInvoiceDetailGenericModifierCode
|
Act Code |
2‑L |
AFTHRS
|
non-normal hours
|
Act Code |
2‑L |
ISOL
|
isolation allowance
|
Act Code |
2‑L |
OOO
|
out of office
|
Act Code |
1‑A |
_ActInvoiceDetailGenericProviderCode
|
ActInvoiceDetailGenericProviderCode
|
Act Code |
2‑L |
CANCAPT
|
cancelled appointment
|
Act Code |
2‑L |
DSC
|
discount
|
Act Code |
2‑L |
ESA
|
extraordinary service assessment
|
Act Code |
2‑L |
FFSTOP
|
fee for service top off
|
Act Code |
2‑L |
FNLFEE
|
final fee
|
Act Code |
2‑L |
FRSTFEE
|
first fee
|
Act Code |
2‑L |
MARKUP
|
markup or up-charge
|
Act Code |
2‑L |
MISSAPT
|
missed appointment
|
Act Code |
2‑L |
PERFEE
|
periodic fee
|
Act Code |
2‑L |
PERMBNS
|
performance bonus
|
Act Code |
2‑L |
RESTOCK
|
restocking fee
|
Act Code |
2‑L |
TRAVEL
|
travel
|
Act Code |
2‑L |
URGENT
|
urgent
|
Act Code |
1‑A |
_ActInvoiceDetailTaxCode
|
ActInvoiceDetailTaxCode
|
Act Code |
2‑L |
FST
|
federal sales tax
|
Act Code |
2‑L |
HST
|
harmonized sales Tax
|
Act Code |
2‑L |
PST
|
provincial/state sales tax
|
Act Code |
1‑A |
_ActEncounterAccommodationCode
|
ActEncounterAccommodationCode
|
Act Code |
2‑A |
_HL7AccommodationCode
|
HL7AccommodationCode
|
Act Code |
3‑L |
I
|
Isolation
|
Act Code |
3‑L |
P
|
Private
|
Act Code |
3‑L |
S
|
Suite
|
Act Code |
3‑L |
SP
|
Semi-private
|
Act Code |
3‑L |
W
|
Ward
|
Act Code |
1‑A |
_ActInvoiceAdjudicationPaymentGroupCode
|
ActInvoiceAdjudicationPaymentGroupCode
|
Act Code |
2‑L |
ALEC
|
alternate electronic
|
Act Code |
2‑L |
BONUS
|
bonus
|
Act Code |
2‑L |
CFWD
|
carry forward adjusment
|
Act Code |
2‑L |
EDU
|
education fees
|
Act Code |
2‑L |
EPYMT
|
early payment fee
|
Act Code |
2‑L |
GARN
|
garnishee
|
Act Code |
2‑L |
INVOICE
|
submitted invoice
|
Act Code |
2‑L |
PINV
|
paper invoice
|
Act Code |
2‑L |
PPRD
|
prior period adjustment
|
Act Code |
2‑L |
PROA
|
professional association deduction
|
Act Code |
2‑L |
RECOV
|
recovery
|
Act Code |
2‑L |
RETRO
|
retro adjustment
|
Act Code |
2‑L |
TRAN
|
transaction fee
|
Act Code |
1‑A |
_ActInvoiceAdjudicationPaymentSummaryCode
|
ActInvoiceAdjudicationPaymentSummaryCode
|
Act Code |
2‑L |
CONT
|
contract
|
Act Code |
2‑L |
DAY
|
day
|
Act Code |
2‑L |
LOC
|
location
|
Act Code |
2‑L |
MONTH
|
month
|
Act Code |
2‑L |
PERIOD
|
period
|
Act Code |
2‑L |
PROV
|
provider
|
Act Code |
2‑L |
WEEK
|
week
|
Act Code |
2‑L |
YEAR
|
year
|
Act Code |
2‑L |
INVTYPE
|
invoice type
|
Act Code |
2‑L |
PAYEE
|
payee
|
Act Code |
2‑L |
PAYOR
|
payor
|
Act Code |
2‑L |
SENDAPP
|
sending application
|
Act Code |
|
|