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ePayment.01

Primary Method of Payment

Required

The primary method of payment or type of insurance associated with this EMS encounter.

PaymentCodedValue1:1Required

Validation Rules

11 rules across 11 states
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State Custom Extensions

2 states
34

New Jersey

Primary Method of Payment

The primary method of payment or type of insurance associated with this EMS encounter

56

Wyoming

ePrimary Method of Payment

The primary method of payment or type of insurance associated with this EMS encounter

Allowed Values

CodeLabel
2601001Insurance
2601003Medicaid
2601005Medicare
2601007Not Billed (for any reason)
2601009Other Government
2601011Self Pay
2601013Workers Compensation
2601015Payment by Facility
2601017Contracted Payment
2601019Community Network
2601021No Insurance Identified
2601023Other Payment Option

Element Metadata

Schema Version3.5.0
NEMSIS DatasetEMS
Has Not Values
Has Pertinent Negatives

Other Payment Elements

ePayment.02

Physician Certification Statement

1 rules

1 states

ePayment.03

Date Physician Certification Statement Signed

0 rules

0 states

ePayment.04

Reason for Physician Certification Statement

0 rules

0 states

ePayment.05

Healthcare Provider Type Signing Physician Certification Statement

0 rules

0 states

ePayment.06

Last Name of Individual Signing Physician Certification Statement

0 rules

0 states

ePayment.07

First Name of Individual Signing Physician Certification Statement

0 rules

0 states

ePayment.08

Patient Resides in Service Area

0 rules

0 states

ePayment.09

Insurance Company ID

0 rules

0 states

ePayment.10

Insurance Company Name

1 rules

1 states

ePayment.11

Insurance Company Billing Priority

0 rules

0 states