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Data Element Name:  Inpatient Ancillary Total Non-Covered Charges File Location:  Master, De-Identified
SPARCS Data Element Number:  67
Record Positions:   See Group Definition Format-Length:  N - 10
Effective Date:  1/1/1994 Revision Date:            
Deniable Data Element:  No


The charges for ancillary services which were not reimbursable by the primary payer.

Codes and Values:
  1. Must have been right justified and zero filled.

  2. The amount must have been entered in dollars and cents. This amount was defined with TWO implied decimal places and must have been entered as a positive amount.

  3. If this field was not applicable it contains zeros.
Edit Applications:
  1. Total of individual occurrences of Inpatient Ancillary Total Non-Covered Charges must have equaled Total Ancillary Non-Covered Charges (Data Element 90).

  2. If Ancillary Total Non-Covered Charges was entered, the other related Data Elements listed in the Ancillary Services Information Group Definition (Data Elements 65-67) must also have been reported.

  3. If Ancillary Revenue Codes (Data Element 65) 001 through 099 are reported, any associated charges were NOT included in this total.