PS1 Purchase Service

To specify the information about services that are purchased

Position: PS1-01 · Element: 127 · Name: Reference Number · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 30 · Repeat: -

Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.

PS101 is provider identification number.

Position: PS1-02 · Element: 782 · Name: Monetary Amount · Type: Decimal number (R) · Requirement: Mandatory · Min: 1 · Max: 15 · Repeat: -

Monetary amount.

PS102 is cost of the purchased service.

Position: PS1-03 · Element: 156 · Name: State or Province Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

Code (Standard State/Province) as defined by appropriate government agency.

PS103 is the state where the service is purchased.