PCC Premium calculation component details

To identify the component affecting a premium calculation and the value category of the component.

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Position
Element
Name
Type
Requirement
Min
Max
Repeat
010
Premium calculation component
Composite (composite)
Conditional
4521
010
Premium calculation component identification
String (AN)
Conditional
1
17
-
Identifies the component affecting premium calculation.
020
Code list qualifier
String (AN)
Conditional
1
3
-
Identification of a code list.
030
Code list responsible agency, coded
String (AN)
Conditional
1
3
-
Code identifying the agency responsible for a code list.
020
Premium calculation component value category
String (AN)
Conditional
1
35
-
Contains the value category of a premium calculation component.
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