HcfaItem

The <HcfaItem> element contains data relative to individual items billed to the patient's insurance. There may be multiple <HcfaCptItem> elements nested within an <HcfaItems> element.

Element	Description	Type	Notes
hcfa_itm_no	HCFA item number	int
hcfa_no	HCFA number	int
serv_from_date	beginning service date	nvarchar
serv_to_date	ending service date	nvarchar
serv_place	place of service	nvarchar	11 = Office 12 = Patient Home 21 = Inpatient Hospital 22 = Outpatient Hospital 23 = Emergency Room - Hospital 24 = Ambulatory Surgical Center 31 = Skilled Nursing Facility 32 = Nursing Facility 34 = Hospice 71 State or Local Public Health Clinic 72 = Rural Health Clinic 81 = Independent Laboratory 99 Other Unlisted Facility 02 Telehealth
serv_type	service type	nvarchar	01 = Medical Care blank
serv_cpt	procedure code	nvarchar	CPT billed
serv2_mod	service modifier	nvarchar	RT = right LT = left blank
serv3_mod	service modifier	nvarchar	RT = right LT = left blank
serv4_mod	service modifier	nvarchar	RT = right LT = left blank
serv1_mod	service modifier	nvarchar	RT = right LT = left blank
serv_chg	service charge	nvarchar
serv_units	service units	int
serv_loc	service location	nvarchar	Rendering provider NPI or other identifier
serv_itm_SKU	service item SKU	nvarchar	SKU number to product
Rendering_Prov_Id	rendering provider ID	nvarchar	NPI or other identifier
provider_no	provider	int	provider
insurance_no	insurance	int	insurance
plan_no	insurance plan	int
Ins_Tax1	tax payable by insurance	nvarchar
Ins_Tax2	tax payable by insurance	nvarchar
Pat_Tax1	tax payable by patient	nvarchar
Pat_Tax2	tax payable by patient	nvarchar
serv_diag_pointer	diagosis pointer	nvarchar
RendProv_NPI_NUM	rendering provider NPI	nvarchar	Rendering provider NPI
RendProv_ID_Qualifier	Rendering provider NPI qualifier	int	1216 = State License Number 1217 = Blue Shield Provider Number 1218 = Medicare Provider Number 1219 = Medicaid Provider Number 1220 = Provider UPIN Number 1221 = CHAMPUS Identification Number 1222 = Provider Commercial Number 1223 = Location Number 1224 = Provider Plan Network ID Number 1225 = State Industrial Accident Provider Num 1226 = Employer's Identification Number 1227 = Social Security Number 1273 = Provider Taxonomy
Slipitm_HCFA_no	Fee slip claim number	int	References the FeeSlipHcfa hcfa_no
serv_diag	Service diagnosis code	nvarchar	ICD-10 or ICD-9 code