| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | date of charges | 0;1 | DATE-TIME | B | This is the date the charges were incurred. | |
| 1 | type of care | 0;2 | POINTER | 430.2 | This is the type of medical care provided, a pointer to File 430.2. | |
| 3 | quantity (units) | 0;3 | NUMERIC | This is the number of units being billed. | ||
| 4 | unit cost | 0;4 | NUMERIC | This is the cost of a single unit. | ||
| 5 | unit | 0;5 | POINTER | 420.5 | This is the unit used on the bill, a pointer to File 420.5 | |
| 6 | total amount | 0;6 | NUMERIC | This is the total cost of the units billed. | ||
| 8 | trans. amount | 0;8 | NUMERIC | This is the total amount of the transaction. |
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