NCBI

NATIONAL CONTRACT BILLING IDENTIFIER

INDICATES:

The account is included in a national contract billing arrangement.

DATE:

2/14/2008

BILLING:

CRIS

APPLICATIONS:

Billing, Tracking Requirements

SECTION - POSITION

EXAMPLES

BILL - LH

INCBI|123456123456

or

INCBI|S

SECTION - POSITION

APPEARANCE

MODE

MIN

MAX

Required

Alphabetic or Numeric

1

12

Element: 1

National Contract Billing Identifier

Appearance

Mode

Min

Max

Series

Range

Optional

Numeric

12

12

No

No

Element: 2

National Contract Billing Standalone Account

Appearance

Mode

Min

Max

Series

Range

Optional

Alphabetic

1

1

No

No

Code Set:

No.

Element Combination

Series

Separator

1.

1

No

2.

2

No

ORDER TYPE/ACTION CODE/FID RELATIONSHIPS

Order Type

N

T

F

D

C

R

X

P

A

Presence

O

O

O

O

O

O

P

P

P

Action Codes

I

I

O

I, O

I, O

I, O

-

-

-

CRIS

CABS

Data Retention

Yes

No

Printed on CSR

Yes

No

Note: Please refer to BR-751-000-150 for a complete description of a FID specification and its structure.

iconectiv Confidential - Restricted Access

This document and the confidential information it contains shall not be distributed, routed or made available to any third party, except with written permission of iconectiv.

Licensed Material - Property of iconectiv

Possession and/or use of this material is subject to the provisions of a written license agreement with iconectiv.