{
    "id": "FT1.27",
    "type": "Field",
    "position": "FT1.27",
    "name": "Advanced Beneficiary Notice Code",
    "length": 250,
    "usage": "O",
    "rpt": "1",
    "dataType": "CE",
    "dataTypeName": "Coded Element",
    "tableId": "0339",
    "tableName": "Advanced Beneficiary Notice Code",
    "description": "This field indicates the status of the patients or the patients representatives consent for responsibility to pay for potentially uninsured services. This element is introduced to satisfy CMS Medical Necessity requirements for outpatient services. This element indicates (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service. Refer to User-defined Table 0339 -Advanced Beneficiary Notice Code in  for suggested values.",
    "sample": "",
    "fields": [
        {
            "id": "FT1.27.1",
            "type": "Component",
            "position": "FT1.27.1",
            "length": 20,
            "dataType": "ST",
            "dataTypeName": "String Data",
            "usage": "O",
            "rpt": "1",
            "tableId": null,
            "tableName": null,
            "name": "Identifier",
            "description": "Sequence of characters (the code) that uniquely identifies the item being referenced. Different coding schemes will have different elements here."
        },
        {
            "id": "FT1.27.2",
            "type": "Component",
            "position": "FT1.27.2",
            "length": 199,
            "dataType": "ST",
            "dataTypeName": "String Data",
            "usage": "O",
            "rpt": "1",
            "tableId": null,
            "tableName": null,
            "name": "Text",
            "description": "The descriptive or textual name of the identifier, e.g., myocardial infarction or X-ray impression."
        },
        {
            "id": "FT1.27.3",
            "type": "Component",
            "position": "FT1.27.3",
            "length": 20,
            "dataType": "ID",
            "dataTypeName": "Coded values for HL7 tables",
            "usage": "O",
            "rpt": "1",
            "tableId": "0396",
            "tableName": "Coding system",
            "name": "Name Of Coding System",
            "description": "Identifies the coding scheme being used in the identifier component. The combination of the identifier and name of coding system components will be a unique code for a data item. Each system has a unique identifier."
        },
        {
            "id": "FT1.27.4",
            "type": "Component",
            "position": "FT1.27.4",
            "length": 20,
            "dataType": "ST",
            "dataTypeName": "String Data",
            "usage": "O",
            "rpt": "1",
            "tableId": null,
            "tableName": null,
            "name": "Alternate Identifier",
            "description": "An alternate sequence of characters (the code) that uniquely identifies the item being referenced. See usage note in section introduction."
        },
        {
            "id": "FT1.27.5",
            "type": "Component",
            "position": "FT1.27.5",
            "length": 199,
            "dataType": "ST",
            "dataTypeName": "String Data",
            "usage": "O",
            "rpt": "1",
            "tableId": null,
            "tableName": null,
            "name": "Alternate Text",
            "description": "The descriptive or textual name of the alternate identifier. See usage note in section introduction."
        },
        {
            "id": "FT1.27.6",
            "type": "Component",
            "position": "FT1.27.6",
            "length": 20,
            "dataType": "ID",
            "dataTypeName": "Coded values for HL7 tables",
            "usage": "O",
            "rpt": "1",
            "tableId": "0396",
            "tableName": "Coding system",
            "name": "Name Of Alternate Coding System",
            "description": "Identifies the coding scheme being used in the alternate identifier component."
        }
    ]
}