Additional Paperwork Attached Attachment (PWK)

Indicates that supporting documents exist outside the core claim fields and tells the payer to retrieve or review them.

 

 

 

Data Field Information
Prompt Response Req Len
Attachment Report Type Code Select the code you want from the list. 1
Attachment Transmission Code Select the code you want from the list. 1
Attachment Control Number Enter the control number.   80