- Insurer added line items The first tier service adjudications for payor added services.
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Key: = Must support, = QICore-defined extension, = Is-Modifier
Field Card. Type and Description 
adjudication 0..*Element The adjudications results.category 0..1CodeHealth Care Service Type Codes to identify the classification of service or benefits.Binding: Benefit SubCategory Codes (Example)
detail 0..*List<Detail>The second tier service adjudications for payor added services.fee 0..1MoneyThe fee charged for the professional service or product..id 0..1Stringunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.modifier 0..*List<Code>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.Binding: Modifier type Codes (Example)
noteNumber 0..*List<positiveInt>A list of note references to the notes provided below.revenue 0..1CodeThe type of reveneu or cost center providing the product and/or service.Binding: Example Revenue Center Codes (Example)
sequenceLinkId 0..*List<positiveInt>List of input service items which this service line is intended to replace.service 0..1CodeA code to indicate the Professional Service or Product supplied.Binding: USCLS Codes (Example)
Key: = Must support, = QICore-defined extension, = Is-Modifier
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