AMT

Credit/Debit Card - Maximum Amount

Pos: 175	Max: 1
Detail - Optional
Loop: 2300	Elements: 2

Ref

Id

Element Name

Req

Type

Min/Max

Usage

AMT01

522

Amount Qualifier Code
Description: Code to qualify amount

M

ID

1/3

Required

Code

Name

MA

Maximum Amount

AMT02

782

Monetary Amount
Description: Monetary amount
Industry: Credit or Debit Card Maximum Amount

M

R

1/18

Required

Notes:

1. Use this segment only for claims that contain credit/debit card information. This segment indicated the maximum amount that can be credited to the account indicated in the 2010BC - Credit/Debit Card Holder Name.
2. The information carried under this segment must never be sent to the payer. This information is only for use between a provider and service organization offering patient collection services. In this case, it is the responsibility of the collection service organization to remove this segment.

Example:

AMT*MA*500~