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Data Element Name:  Accommodations Rate
Format-Length:  N - 9 Required For:  IP
Effective Date:  1/1/94 Revision Date:  February 1994

National Standard Mapping:

Electronic - 837I

X12 Loop

Ref. Des.

Data Element

Code

Description
Version 4050R 2400 SV206 1371 Accommodations Rate

Paper Form Locator Code Qualifier
Institutional - UB-04 44 N/A

Definition:

The rate charged per day for a specific accommodation.

Codes and Values:

  1. The amount must be entered in dollars and cents.

    Example:  $125.24 would be entered as: 125.24

Edit Applications:

  1. If Accommodations Rate is reported, then Accommodations Code, Accommodations Days, Accommodations Total Charges, and Accommodations Total Non-Covered Charges must also be reported.

  2. SPARCS allows a maximum of 50 Accommodations.
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