FeeSlipItem

The <FeeSlipItem> element contains data relative to individual items listed on a fee slip. There may be multiple <FeeSlipItem> elements nested within an <FeeSlipItems> element.

Element	Description	Type	Notes
slipitm_no	fee slip item number	int	References the FeeSlipItems slipitm_no
feeslip_no	fee slip number	int	References the FeeSlipHcfa hcfa_no
prd_no	product description	int
prd_item_no	product SKU	int
slipitm_cpt	CPT associated with item	nvarchar
slipitm_qty	item quantity	smallint
slipitm_fee	item fee	money
slipitm_disc	item dicsount	real
slipitm_disc_type	iItem discount type	bit
slipitm_tax1	item tax 1	real
slipitm_tax2	item tax 2	real
insurance_no	insurance carrier	int
plan_no	insurance plan	float
slipitm_pat_total	item patient responsibility	money
slipitm_ins_total	item insurance responsibility	money
diag1_no	diagnosis 1	int	May be ICD-9 or ICD-10, depending on the date of service.
diag2_no	diagnosis 2	int	May be ICD-9 or ICD-10, depending on the date of service.
diag3_no	diagnosis 3	int	May be ICD-9 or ICD-10, depending on the date of service.
diag4_no	diagnosis 4	int	May be ICD-9 or ICD-10, depending on the date of service.
mod1_no	modifier 1	int	-1 or 0 = no modifier
mod2_no	modifier 2	int	-1 or 0 = no modifier
mod3_no	modifier 3	int	-1 or 0 = no modifier
mod4_no	modifier 4	int	-1 or 0 = no modifier
service_from_date	service from date	datetime
slipitm_disc_amt	slip item discount amount	money
slipitm_tax1_pamt	sales tax 1 patient	money
slipitm_tax2_pamt	sales tax 2 patient	money
slipitm_tax1_iamt	sales tax 1 insurance	money
slipitm_tax2_iamt	sales tax 2 insurance	money
slipitm_notes	item notes	nvarchar
Reference_Note	reference note	nvarchar
slipitm_tax3	sales tax 3	real
slipitm_CoPay	copay	money
slipitm_InsReimb	insurance reimbursement	money
OriginalFee	original fee	money
PackageDisc	package description	money
slipitm_ins_name	insurance name	nvarchar