Segment: PWK
Loop: 2300 Segment: PWK
Element: PWK01 (Claim Supplemental Information Report Type Code) Up to 10x
Billing->Patient Account->Claims tab->More Info->Supplemental Information->Report Type Code
Element: PWK02 (Claim Supplemental Information Report Transmission Code) Up to 10x
Billing->Patient Account->Claims tab->More Info->Supplemental Information->Transmission Type
Element: PWK05 (Claim Supplemental Information Report Identification Code Qualifier) Up to 10x
Hard Coded if PWK02=BM, EL, EM, FX OR FT
Element: PWK06 (Claim Supplemental Information Report Identification Code) Up to 10x
Billing->Patient Account->Claims tab->More Info->Supplemental Information->Control Number, if PWK02=BM, EL, EM, FX OR FT