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ePayment.47Ambulance Conditions Indicator
Documentation of the CRC03 through CRC07 requirements for CMS billing using X12 transactions.
PaymentCodedValue0:MOptional
Validation Rules
No validation rules reference this element
Allowed Values
| Code | Label |
|---|---|
| 01 | Patient was admitted to a hospital |
| 04 | Patient was moved by stretcher |
| 05 | Patient was unconscious or in shock |
| 06 | Patient was transported in an emergency situation |
| 07 | Patient had to be physically restrained |
| 08 | Patient had visible hemorrhaging |
| 09 | Ambulance service was medically necessary |
| 12 | Patient is confined to a bed or chair (Use code 12 to indicate patient was bedridden during transport.) |
Element Metadata
Schema Version3.5.0
NEMSIS DatasetEMS
Has Not Values
Has Pertinent Negatives
Other Payment Elements
ePayment.01Primary Method of Payment
11 rules
11 states
ePayment.02Physician Certification Statement
1 rules
1 states
ePayment.03Date Physician Certification Statement Signed
0 rules
0 states
ePayment.04Reason for Physician Certification Statement
0 rules
0 states
ePayment.05Healthcare Provider Type Signing Physician Certification Statement
0 rules
0 states
ePayment.06Last Name of Individual Signing Physician Certification Statement
0 rules
0 states
ePayment.07First Name of Individual Signing Physician Certification Statement
0 rules
0 states
ePayment.08Patient Resides in Service Area
0 rules
0 states
ePayment.09Insurance Company ID
0 rules
0 states
ePayment.10Insurance Company Name
1 rules
1 states