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*********************** Updated:05/16/2008 Copyright © 1996-2008 Management Systems Consulting, Inc. | | | AMT | ![]() | | Member Policy Amounts | . | | Pos: 120 | Max: 4 | | Detail - Optional | | Loop: 2100A | Elements: 2 | |
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To indicate the total monetary amount Element Summary: | | | | | | | | | | | | | | _Ref_ | Id | _________Element Name__________ | Req | Type | Min/Max | | | | | AMT01 | 522 | Amount Qualifier Code | M | ID | 1/3 | | | | | | | Description: Code to qualify amount | | | | | | Code | Name_______________________________ | | | | | | B9 | Co-insurance - Actual | | | | | | | Description: Calculated value still to be paid by the individual under the co-insurance provisions of the benefit contract | | | | | | C1 | Co-Payment Amount | | | | | | | Description: Partial payment of medical services' expenses required in group health insurance, in addition to the membership fee; for example, for each visit to a physician a member may be required to pay $5, regardless of the expense of the services rendered; or for each prescription for drugs and medicines, the member may have to pay a flat fee of $2 regardless of the actual cost | | | | | | D2 | Deductible Amount | | | | | | | Description: The amount of covered expenses that must be incurred by the insured before benefits become payable to the insurer | | | | | | P3 | Premium Amount | | | | | | | Description: The periodic payment required to keep a policy in force | | | AMT02 | 782 | Monetary Amount | M | R | 1/18 | | | | | | | Description: Monetary amount |
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