| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | plan(+) | 0;1 | POINTER | 355.3 | B | The plan that this limitation will apply to. |
| .02 | coverage category(+) | 0;2 | POINTER | 355.31 | The type of coverage that the insurance company plan has reimbursement limits on. | |
| .03 | effective date(+) | 0;3 | DATE-TIME | The date on which the type of coverage for this limitation becomes limited for insurance billing purposes. | ||
| .04 | coverage status(+) | 0;4 | SET OF CODES | 0:NOT COVERED 1:COVERED 2:CONDITIONAL COVERAGE | This is the status of the coverage associated with this record on the effective date associated with this record. | |
| 1.01 | date entered | 1;1 | DATE-TIME | This is the date this limitation was entered. It is triggered by the creation of this entry. | ||
| 1.02 | entered by | 1;2 | POINTER | 200 | This is the user who created this entry. It is automatically triggered by the creation of this entry. | |
| 1.03 | date last edited | 1;3 | DATE-TIME | This is the date this limitation was last edited. It is automatically updated any time the limitation is edited using one of the options provided. | ||
| 1.04 | last edited by | 1;4 | POINTER | 200 | This is the user who last edited this limitation. It is automatically updated any time a person edits this limitation using one of the options provided. | |
| 2 | limitation comment | 2;0 | MULTIPLE | 355.321 |
Not Referenced