GP1 segment
Grouping/Reimbursement - Visit
The shape of one line
segmentGP1|GP1-1Type of Bill Code|GP1-2Revenue Code|GP1-3Overall Claim Dispositio…|GP1-4OCE Edits per Visit Code|GP1-5Outlier Cost
required optional
GP1-2 and its value arrives as GP1-1, so the receiver stores Revenue Code as Type of Bill Code.This page carries the GP1 field table as published and nothing beyond it. The field notes, vendor behaviour, FHIR mapping and parsing guidance that thePID page has are still to be written for GP1.
Every field
| SEQ | LEN | DT | OPT | RP/# | TBL# | ITEM# | Element name | Cardinality |
|---|---|---|---|---|---|---|---|---|
| GP1-1 | 3 | IS | R | 0455 | 01599 | Type of Bill Code | 1..1 | |
| GP1-2 | 3 | IS | O | Y | 0456 | 01600 | Revenue Code | 0..* |
| GP1-3 | 1 | IS | O | 0457 | 01601 | Overall Claim Disposition Code | 0..1 | |
| GP1-4 | 2 | IS | O | Y | 0458 | 01602 | OCE Edits per Visit Code | 0..* |
| 12 | CP | O | 00387 | Outlier Cost | 0..1 | |||
| ||||||||
Related
Message types carrying GP1
GP1 appears in 1 message structure, belonging to 1 message type.