FX3 Product Information

To provide information relevant to a product

Position: FX3-01 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 1 · Max: 1 · Repeat: 1

Code indicating a Yes or No condition or response

FX301 indicates if the product is included or excluded. A 'Y' indicates that the product is included. An 'N' indicates that the product is excluded.

Position: FX3-02 · Element: 235 · Name: Product/Service ID Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: 1

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

P0203: If either FX3-02 or FX3-03 is present, then the other is required

Position: FX3-03 · Element: 234 · Name: Product/Service ID · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 80 · Repeat: 1

Identifying number for a product or service

Position: FX3-04 · Element: 235 · Name: Product/Service ID Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: 1

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

P0405: If either FX3-04 or FX3-05 is present, then the other is required

Position: FX3-05 · Element: 234 · Name: Product/Service ID · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 80 · Repeat: 1

Identifying number for a product or service

Position: FX3-06 · Element: 235 · Name: Product/Service ID Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: 1

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

P0607: If either FX3-06 or FX3-07 is present, then the other is required

Position: FX3-07 · Element: 234 · Name: Product/Service ID · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 80 · Repeat: 1

Identifying number for a product or service

Position: FX3-08 · Element: 350 · Name: Assigned Identification · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 20 · Repeat: 1

Alphanumeric characters assigned for differentiation within a transaction set

Position: FX3-09 · Element: 352 · Name: Description · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 80 · Repeat: 1

A free-form description to clarify the related data elements and their content

FX309 is the product description.

Position: FX3-10 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: 1

Code indicating a Yes or No condition or response

FX310 indicates if this product is required for the program. A 'Y' indicates that the product is required. An 'N' indicates that the product is not required.

Position: FX3-11 · Element: 1321 · Name: Condition Indicator Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 3 · Repeat: 1

Code indicating a condition

FX311 indicates if product substitution is allowed.