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ePayment.23

Closest Relative/Guardian Last Name

The last (family) name of the patient's closest relative or guardian.

PaymentString0:1Optional

Validation Rules

1 rules across 1 states
WARNING

Rule_1206

Closest Relative/Guardian Last Name is required when Patient Evaluation/Care is "Patient Evaluated", Patient Age is less than 18 years and Closest Relative/Guardian Relationship is not "Unknown". (ePayment.23, eDisposition.28, ePatient.15, ePatient.16, ePayment.32)

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Element Metadata

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

Other Payment Elements

ePayment.01

Primary Method of Payment

11 rules

11 states

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