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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 | |
Definition:
The charges for ancillary services which were not reimbursable by the primary payer.
Codes and Values:- Must have been right justified and zero filled.
- 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.
- If this field was not applicable it contains zeros.
- Total of individual occurrences of Inpatient Ancillary Total Non-Covered Charges
must have equaled Total Ancillary Non-Covered Charges
(Data Element 90).
- 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.
- If Ancillary Revenue Codes (Data Element 65) 001 through 099 are reported, any associated charges were NOT included in this total.


