HL7 - Version 2.8.2


Segment ADJ: Adjustment (Korrektur)

Seq Description German Interpretation Length C.LEN Table r/o/c Rep# Item Data Structure Section
1 Provider Adjustment Number



R
02003 EI 16.4.7.1
2 Payer Adjustment Number



R
02004 EI 16.4.7.2
3 Adjustment Sequence Number
1..4

R
02005 SI 16.4.7.3
4 Adjustment Category


0564 R
02006 CWE 16.4.7.4
5 Adjustment Amount



O Y/5 02007 CP 16.4.7.5
6 Adjustment Quantity


0560 O
02008 CQ 16.4.7.6
7 Adjustment Reason PA


0565 C 1 02009 CWE 16.4.7.7
8 Adjustment Description

250#
O
02010 ST 16.4.7.8
9 Original Value

16=
O
02011 NM 16.4.7.9
10 Substitute Value

16=
O
02012 NM 16.4.7.10
11 Adjustment Action


0569 O
02013 CWE 16.4.7.11
12 Provider Adjustment Number Cross Reference



O
02014 EI 16.4.7.12
13 Provider Product/Service Line Item Number Cross Reference



O
02015 EI 16.4.7.13
14 Adjustment Date



R
02016 DTM 16.4.7.14
15 Responsible Organization



O
02017 XON 16.4.7.15

Used within following Message Structures:

EHC_E01 Submit HealthCare Services Invoice (16.3.1)
EHC_E10 Edit/Adjudication Results (16.3.6)
EHC_E15 Payment/Remittance Advice (16.3.9)
EHC_E15 Payment/Remittance Advice (16.3.9)
EHC_E20 Submit Authorization Request (16.3.10)
EHC_E24 Authorization Response (16.3.14)