Segment: PWK01

Loop: 2400  Element: PWK01

Element: PWK01 (Line Supplemental Information Attachment Report Type Code)

Element: PWK01 (Line Supplemental Information Attachment Report Type Code)

Edit Charge->Supplemental Information tab->Attachment Type

Element: PWK02 (Line Supplemental Information Report Transmission Code)

Element: PWK02 (Line Supplemental Information Report Transmission Code)

Edit Charge->Supplemental Information tab->Transmission Type

Element: PWK05 (Line Supplemental Information Identification Code Qualifier)

Hard coded to 'AC'.

Element: PWK06 (Line Supplemental Information Attachment Control Number)

Element: PWK06 (Line Supplemental Information Attachment Control Number)

Edit Charge->Supplemental Information tab->Control Number

Element: PWK01 (DME Certificate of Medical Necessity Indicator Attachment Report Type Code)

Hard coded to 'CT'.

Element: PWK02 (DME Certificate of Medical Necessity Indicator Report Transmission Code)

Element: PWK02 (DME Certificate of Medical Necessity Indicator Report Transmission Code)

Edit Charge->DME Tab->Attachment Transmission Code