SAC

Service, Promotion, Allowance, or Charge Information

Pos: 120	Max: 1
Heading - Optional
Loop: SAC	Elements: 9

Ref

Id

Element Name

Req

Type

Min/Max

Usage

SAC01

248

Allowance or Charge Indicator
Description: Code which indicates an allowance or charge for the service specified
All valid standard codes are used.

M

ID

1/1

Must use

SAC02

1300

Service, Promotion, Allowance, or Charge Code
Description: Code identifying the service, promotion, allowance, or charge
All valid standard codes are used.

C

ID

4/4

Used

SAC03

559

Agency Qualifier Code
Description: Code identifying the agency assigning the code values
All valid standard codes are used.

C

ID

2/2

Used

SAC04

1301

Agency Service, Promotion, Allowance, or Charge Code
Description: Agency maintained code identifying the service, promotion, allowance, or charge

C

AN

1/10

Used

SAC05

610

Amount
Description: Monetary amount

O

N2

1/15

Used

SAC06

378

Allowance/Charge Percent Qualifier
Description: Code indicating on what basis allowance or charge percent is calculated
All valid standard codes are used.

C

ID

1/1

Used

SAC07

332

Percent
Description: Percent expressed as a percent

C

R

1/6

Used

SAC13

127

Reference Identification
Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

C

AN

1/30

Used

SAC15

352

Description
Description: A free-form description to clarify the related data elements and their content

C

AN

1/80

Used

1.

R0203 - At least one of SAC02,SAC03 is required

2.

P0304 - If either SAC03,SAC04 is present, then all are required

3.

P0607 - If either SAC06,SAC07 is present, then all are required

1.

If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required.

2.

SAC05 is the total amount for the service, promotion, allowance, or charge.

3.

If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.

4.

SAC13 is used in conjunction with SAC02 or SAC04 to provide a specific reference number as identified by the code used.

1.

SAC04 may be used to uniquely identify the service, promotion, allowance, or charge. In addition, it may be used in conjunction to further the code in SAC02.