X12 HIPAA
/
Post-adjudicated Claims Data Reporting: Professional (X298A1)
  • Specification
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X12 837 Post-adjudicated Claims Data Reporting: Professional (X298A1)

X12 Release 5010
Delimiters
  • ~ Segment
  • * Element
  • > Component
  • ^ Repetition
EDI sample
  • Adjudicated Claim submitted to All Payer Claim Data Base (APCD)
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Overview
ISA
-
Interchange Control Header
Max use 1
Required
GS
-
Functional Group Header
Max use 1
Required
heading
ST
0050
Transaction Set Header
Max use 1
Required
BHT
0100
Beginning of Hierarchical Transaction
Max use 1
Required
Submitter Name Loop
detail
Billing Provider Hierarchical Level Loop
HL
0010
Hierarchical Level
Max use 1
Required
PRV
0030
Billing Provider Specialty Information
Max use 1
Optional
CUR
0100
Foreign Currency Information
Max use 1
Optional
Subscriber Hierarchical Level Loop
HL
0010
Hierarchical Level
Max use 1
Required
SBR
0050
Subscriber Information
Max use 1
Required
Patient Hierarchical Level Loop
HL
0010
Hierarchical Level
Max use 1
Required
PAT
0070
Patient Information
Max use 1
Required
Claim Information Loop
CLM
1300
Claim Information
Max use 1
Required
DTP
1350
Date - Accident
Max use 1
Optional
DTP
1350
Date - Acute Manifestation
Max use 1
Optional
DTP
1350
Date - Admission
Max use 1
Optional
DTP
1350
Date - Assumed and Relinquished Care Dates
Max use 2
Optional
DTP
1350
Date - Authorized Return to Work
Max use 1
Optional
DTP
1350
Date - Disability Dates
Max use 1
Optional
DTP
1350
Date - Discharge
Max use 1
Optional
DTP
1350
Date - Hearing and Vision Prescription Date
Max use 1
Optional
DTP
1350
Date - Last Menstrual Period
Max use 1
Optional
DTP
1350
Date - Onset of Current Illness or Symptom
Max use 1
Optional
DTP
1350
Date - Initial Treatment Date
Max use 1
Optional
DTP
1350
Date - Last Seen Date
Max use 1
Optional
DTP
1350
Date - Last Worked
Max use 1
Optional
DTP
1350
Date - Last X-ray Date
Max use 1
Optional
DTP
1350
Date - Property and Casualty Date of First Contact
Max use 1
Optional
DTP
1350
Date - Repricer Received Date
Max use 1
Optional
PWK
1550
Claim Supplemental Information
Max use 10
Optional
CN1
1600
Contract Information
Max use 1
Optional
AMT
1750
Patient Amount Paid
Max use 1
Optional
REF
1800
Adjusted Repriced Claim Number
Max use 1
Optional
REF
1800
Investigational Device Exemption Number
Max use 1
Optional
REF
1800
Claim Identifier For Transmission Intermediaries
Max use 1
Optional
REF
1800
Mammography Certification Number
Max use 1
Optional
REF
1800
Prior Authorization
Max use 1
Optional
REF
1800
Payer Claim Control Number
Max use 1
Optional
REF
1800
Clinical Laboratory Improvement Amendment (CLIA) Number
Max use 1
Optional
REF
1800
Medical Record Number
Max use 1
Optional
REF
1800
Referral Number
Max use 1
Optional
REF
1800
Repriced Claim Number
Max use 1
Optional
REF
1800
Service Authorization Exception Code
Max use 1
Optional
K3
1850
File Information
Max use 10
Optional
NTE
1900
Claim Note
Max use 1
Optional
CR1
1950
Ambulance Transport Information
Max use 1
Optional
CR2
2000
Spinal Manipulation Service Information
Max use 1
Optional
CRC
2200
Ambulance Certification
Max use 3
Optional
CRC
2200
Patient Condition Information: Vision
Max use 3
Optional
CRC
2200
Homebound Indicator
Max use 1
Optional
CRC
2200
EPSDT Referral
Max use 1
Optional
HI
2310
Health Care Diagnosis Code
Max use 1
Required
HI
2310
Anesthesia Related Procedure
Max use 1
Optional
HI
2310
Condition Information
Max use 2
Optional
HCP
2410
Claim Pricing/Repricing Information
Max use 1
Optional
Service Line Number Loop
LX
3650
Service Line Number
Max use 1
Required
SV1
3700
Professional Service
Max use 1
Required
PWK
4200
Line Supplemental Information
Max use 10
Optional
PWK
4200
Durable Medical Equipment Certificate of Medical Necessity Indicator
Max use 1
Optional
CR1
4250
Ambulance Transport Information
Max use 1
Optional
CR3
4350
Durable Medical Equipment Certification
Max use 1
Optional
CRC
4500
Ambulance Certification
Max use 3
Optional
CRC
4500
Hospice Employee Indicator
Max use 1
Optional
CRC
4500
Condition Indicator/Durable Medical Equipment
Max use 1
Optional
DTP
4550
Date - Initial Treatment Date
Max use 1
Optional
DTP
4550
Date - Service Date
Max use 1
Required
DTP
4550
Date - Prescription Date
Max use 1
Optional
DTP
4550
Date - Certification Revision/Recertification Date
Max use 1
Optional
DTP
4550
Date - Begin Therapy Date
Max use 1
Optional
DTP
4550
Date - Last Certification Date
Max use 1
Optional
DTP
4550
Date - Last Seen Date
Max use 1
Optional
DTP
4550
Date - Last X-ray Date
Max use 1
Optional
DTP
4550
Date - Shipped Date
Max use 1
Optional
DTP
4550
Date - Test Date
Max use 2
Optional
QTY
4600
Ambulance Patient Count
Max use 1
Optional
QTY
4600
Obstetric Anesthesia Additional Units
Max use 1
Optional
MEA
4620
Test Result
Max use 5
Optional
CN1
4650
Contract Information
Max use 1
Optional
REF
4700
Clinical Laboratory Improvement Amendment (CLIA) Number
Max use 1
Optional
REF
4700
Immunization Batch Number
Max use 1
Optional
REF
4700
Line Item Control Number
Max use 1
Optional
REF
4700
Mammography Certification Number
Max use 1
Optional
REF
4700
Referral Number
Max use 1
Optional
REF
4700
Referring Clinical Laboratory Improvement Amendment (CLIA) Facility Identification
Max use 1
Optional
REF
4700
Repriced Line Item Reference Number
Max use 1
Optional
REF
4700
Adjusted Repriced Line Item Reference Number
Max use 1
Optional
REF
4700
Prior Authorization
Max use 1
Optional
AMT
4750
Sales Tax Amount
Max use 1
Optional
AMT
4750
Postage Claimed Amount
Max use 1
Optional
K3
4800
File Information
Max use 10
Optional
NTE
4850
Line Note
Max use 1
Optional
NTE
4850
Third Party Organization Notes
Max use 1
Optional
PS1
4880
Purchased Service Information
Max use 1
Optional
HCP
4920
Line Pricing/Repricing Information
Max use 1
Optional
SE
5550
Transaction Set Trailer
Max use 1
Required
GE
-
Functional Group Trailer
Max use 1
Required
IEA
-
Interchange Control Trailer
Max use 1
Required
ISA

Interchange Control Header

RequiredMax use 1
Example
ISA-01
I01
Authorization Information Qualifier
Required
Identifier (ID)
00
No Authorization Information Present (No Meaningful Information in I02)
ISA-02
I02
Authorization Information
Required
String (AN)
Min 10Max 10
ISA-03
I03
Security Information Qualifier
Required
Identifier (ID)
00
No Security Information Present (No Meaningful Information in I04)
ISA-04
I04
Security Information
Required
String (AN)
Min 10Max 10
ISA-05
I05
Interchange ID Qualifier
Required
Identifier (ID)
Min 2Max 2
Codes
ISA-06
I06
Interchange Sender ID
Required
String (AN)
Min 15Max 15
ISA-07
I05
Interchange ID Qualifier
Required
Identifier (ID)
Min 2Max 2
Codes
ISA-08
I07
Interchange Receiver ID
Required
String (AN)
Min 15Max 15
ISA-09
I08
Interchange Date
Required
Date (DT)
YYMMDD format
ISA-10
I09
Interchange Time
Required
Time (TM)
HHMM format
ISA-11
I65
Repetition Separator
Required
String (AN)
Min 1Max 1
^
Repetition Separator
ISA-12
I11
Interchange Control Version Number
Required
Identifier (ID)
00501
Standards Approved for Publication by ASC X12 Procedures Review Board through October 2003
ISA-13
I12
Interchange Control Number
Required
Numeric (N0)
Min 9Max 9
ISA-14
I13
Acknowledgment Requested
Required
Identifier (ID)
Min 1Max 1
0
No Interchange Acknowledgment Requested
1
Interchange Acknowledgment Requested (TA1)
ISA-15
I14
Interchange Usage Indicator
Required
Identifier (ID)
Min 1Max 1
I
Information
P
Production Data
T
Test Data
ISA-16
I15
Component Element Separator
Required
String (AN)
Min 1Max 1
>
Component Element Separator
GS

Functional Group Header

RequiredMax use 1
Example
GS-01
479
Functional Identifier Code
Required
Identifier (ID)
HC
Health Care Claim (837)
GS-02
142
Application Sender's Code
Required
String (AN)
Min 2Max 15
GS-03
124
Application Receiver's Code
Required
String (AN)
Min 2Max 15
GS-04
373
Date
Required
Date (DT)
CCYYMMDD format
GS-05
337
Time
Required
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format
GS-06
28
Group Control Number
Required
Numeric (N0)
Min 1Max 9
GS-07
455
Responsible Agency Code
Required
Identifier (ID)
Min 1Max 2
T
Transportation Data Coordinating Committee (TDCC)
X
Accredited Standards Committee X12
GS-08
480
Version / Release / Industry Identifier Code
Required
String (AN)
005010X298A1

Heading

ST
0050
Heading > ST

Transaction Set Header

RequiredMax use 1
Example
ST-01
143
Transaction Set Identifier Code
Required
Identifier (ID)
837
Health Care Claim
ST-02
329
Transaction Set Control Number
Required
Numeric (N)
Min 4Max 9
Usage notes
ST-03
1705
Implementation Guide Version Name
Required
String (AN)
Usage notes
005010X298A1
BHT
0100
Heading > BHT

Beginning of Hierarchical Transaction

RequiredMax use 1
Example
BHT-01
1005
Hierarchical Structure Code
Required
Identifier (ID)
0019
Information Source, Subscriber, Dependent
BHT-02
353
Transaction Set Purpose Code
Required
Identifier (ID)
Usage notes
00
Original
18
Reissue
BHT-03
127
Originator Application Transaction Identifier
Required
String (AN)
Min 1Max 50
Usage notes
BHT-04
373
Transaction Set Creation Date
Required
Date (DT)
CCYYMMDD format
BHT-05
337
Transaction Set Creation Time
Required
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format
BHT-06
640
Claim or Encounter Identifier
Required
Identifier (ID)
RP
Reporting
1000A Submitter Name Loop
RequiredMax 1
Variants (all may be used)
Receiver Name Loop
NM1
0200
Heading > Submitter Name Loop > NM1

Submitter Name

RequiredMax use 1
Usage notes
Example
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
41
Submitter
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
2
Non-Person Entity
NM1-03
1035
Submitter Last or Organization Name
Required
String (AN)
Min 1Max 60
NM1-08
66
Identification Code Qualifier
Required
Identifier (ID)
46
Electronic Transmitter Identification Number (ETIN)
NM1-09
67
Submitter Identifier
Required
String (AN)
Min 2Max 80
PER
0450
Heading > Submitter Name Loop > PER

Submitter EDI Contact Information

RequiredMax use 2
Usage notes
Example
If either Communication Number Qualifier (PER-05) or Communication Number (PER-06) is present, then the other is required
If either Communication Number Qualifier (PER-07) or Communication Number (PER-08) is present, then the other is required
PER-01
366
Contact Function Code
Required
Identifier (ID)
IC
Information Contact
PER-02
93
Submitter Contact Name
Optional
String (AN)
Min 1Max 60
PER-03
365
Communication Number Qualifier
Required
Identifier (ID)
EM
Electronic Mail
FX
Facsimile
TE
Telephone
PER-04
364
Communication Number
Required
String (AN)
Min 1Max 256
PER-05
365
Communication Number Qualifier
Optional
Identifier (ID)
EM
Electronic Mail
EX
Telephone Extension
FX
Facsimile
TE
Telephone
PER-06
364
Communication Number
Optional
String (AN)
Min 1Max 256
PER-07
365
Communication Number Qualifier
Optional
Identifier (ID)
EM
Electronic Mail
EX
Telephone Extension
FX
Facsimile
TE
Telephone
PER-08
364
Communication Number
Optional
String (AN)
Min 1Max 256
1000A Submitter Name Loop end
1000B Receiver Name Loop
RequiredMax 1
Variants (all may be used)
Submitter Name Loop
NM1
0200
Heading > Receiver Name Loop > NM1

Receiver Name

RequiredMax use 1
Example
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
40
Receiver
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
2
Non-Person Entity
NM1-03
1035
Receiver Name
Required
String (AN)
Min 1Max 60
NM1-08
66
Identification Code Qualifier
Required
Identifier (ID)
46
Electronic Transmitter Identification Number (ETIN)
NM1-09
67
Receiver Primary Identifier
Required
String (AN)
Min 2Max 80
1000B Receiver Name Loop end
Heading end

Detail

2000A Billing Provider Hierarchical Level Loop
RequiredMax >1
HL
0010
Detail > Billing Provider Hierarchical Level Loop > HL

Hierarchical Level

RequiredMax use 1
Example
HL-01
628
Hierarchical ID Number
Required
String (AN)
Min 1Max 12
HL-03
735
Hierarchical Level Code
Required
Identifier (ID)
20
Information Source
HL-04
736
Hierarchical Child Code
Optional
Identifier (ID)
1
Additional Subordinate HL Data Segment in This Hierarchical Structure.
PRV
0030
Detail > Billing Provider Hierarchical Level Loop > PRV

Billing Provider Specialty Information

OptionalMax use 1
Usage notes
Example
PRV-01
1221
Provider Code
Required
Identifier (ID)
BI
Billing
PRV-02
128
Reference Identification Qualifier
Required
Identifier (ID)
PXC
Health Care Provider Taxonomy Code
PRV-03
127
Provider Taxonomy Code
Required
String (AN)
Min 1Max 50
CUR
0100
Detail > Billing Provider Hierarchical Level Loop > CUR

Foreign Currency Information

OptionalMax use 1
Usage notes
Example
CUR-01
98
Entity Identifier Code
Required
Identifier (ID)
85
Billing Provider
CUR-02
100
Currency Code
Required
Identifier (ID)
Min 3Max 3
Usage notes
2010AA Billing Provider Name Loop
RequiredMax 1
NM1
0150
Detail > Billing Provider Hierarchical Level Loop > Billing Provider Name Loop > NM1

Billing Provider Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Billing Provider Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
85
Billing Provider
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
2
Non-Person Entity
NM1-03
1035
Billing Provider Last or Organizational Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Billing Provider First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Billing Provider Middle Name or Initial
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Billing Provider Name Suffix
Optional
String (AN)
Min 1Max 10
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
Usage notes
XX
Centers for Medicare and Medicaid Services National Provider Identifier
NM1-09
67
Billing Provider Identifier
Optional
String (AN)
Min 2Max 80
Usage notes
N3
0250
Detail > Billing Provider Hierarchical Level Loop > Billing Provider Name Loop > N3

Billing Provider Address

RequiredMax use 1
Usage notes
Example
N3-01
166
Billing Provider Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Billing Provider Address Line
Optional
String (AN)
Min 1Max 55
N4
0300
Detail > Billing Provider Hierarchical Level Loop > Billing Provider Name Loop > N4

Billing Provider City, State, ZIP Code

RequiredMax use 1
Usage notes
Example
Only one of Billing Provider State or Province Code (N4-02) or Country Subdivision Code (N4-07) may be present
If Country Subdivision Code (N4-07) is present, then Country Code (N4-04) is required
N4-01
19
Billing Provider City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Billing Provider State or Province Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Billing Provider Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
Usage notes
N4-04
26
Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
REF
0350
Detail > Billing Provider Hierarchical Level Loop > Billing Provider Name Loop > REF

Billing Provider Tax Identification

RequiredMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
EI
Employer's Identification Number
SY
Social Security Number
REF-02
127
Billing Provider Tax Identification Number
Required
String (AN)
Min 1Max 50
REF
0350
Detail > Billing Provider Hierarchical Level Loop > Billing Provider Name Loop > REF

Billing Provider License Information

OptionalMax use 2
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
0B
State License Number
REF-02
127
Billing Provider License Information
Required
String (AN)
Min 1Max 50
REF
0350
Detail > Billing Provider Hierarchical Level Loop > Billing Provider Name Loop > REF

Billing Provider Secondary Identification

OptionalMax use 2
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
G2
Provider Commercial Number
LU
Location Number
REF-02
127
Billing Provider Secondary Identifier
Required
String (AN)
Min 1Max 50
2010AA Billing Provider Name Loop end
2000B Subscriber Hierarchical Level Loop
RequiredMax >1
HL
0010
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > HL

Hierarchical Level

RequiredMax use 1
Example
HL-01
628
Hierarchical ID Number
Required
String (AN)
Min 1Max 12
HL-02
734
Hierarchical Parent ID Number
Required
String (AN)
Min 1Max 12
HL-03
735
Hierarchical Level Code
Required
Identifier (ID)
22
Subscriber
HL-04
736
Hierarchical Child Code
Optional
Identifier (ID)
0
No Subordinate HL Segment in This Hierarchical Structure.
1
Additional Subordinate HL Data Segment in This Hierarchical Structure.
SBR
0050
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > SBR

Subscriber Information

RequiredMax use 1
Example
SBR-01
1138
Payer Responsibility Sequence Number Code
Required
Identifier (ID)
N
Unconfirmed
SBR-02
1069
Individual Relationship Code
Optional
Identifier (ID)
18
Self
2010BA Subscriber Name Loop
RequiredMax 1
Variants (all may be used)
Data Receiver Loop
NM1
0150
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Subscriber Name Loop > NM1

Subscriber Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Subscriber Primary Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
IL
Insured or Subscriber
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
2
Non-Person Entity
NM1-03
1035
Subscriber Last Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Subscriber First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Subscriber Middle Name or Initial
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Subscriber Name Suffix
Optional
String (AN)
Min 1Max 10
Usage notes
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
II
Standard Unique Health Identifier for each Individual in the United States
MI
Member Identification Number
NM1-09
67
Subscriber Primary Identifier
Optional
String (AN)
Min 2Max 80
N3
0250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Subscriber Name Loop > N3

Subscriber Address

RequiredMax use 1
Usage notes
Example
N3-01
166
Subscriber Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Subscriber Address Line
Optional
String (AN)
Min 1Max 55
N4
0300
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Subscriber Name Loop > N4

Subscriber City, State, ZIP Code

RequiredMax use 1
Usage notes
Example
Only one of Subscriber State Code (N4-02) or Country Subdivision Code (N4-07) may be present
If Country Subdivision Code (N4-07) is present, then Country Code (N4-04) is required
N4-01
19
Subscriber City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Subscriber State Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Subscriber Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
N4-04
26
Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
DMG
0320
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Subscriber Name Loop > DMG

Subscriber Demographic Information

RequiredMax use 1
Usage notes
Example
DMG-01
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DMG-02
1251
Subscriber Birth Date
Required
String (AN)
Min 1Max 35
DMG-03
1068
Subscriber Gender Code
Required
Identifier (ID)
F
Female
M
Male
U
Unknown
REF
0350
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Subscriber Name Loop > REF

Subscriber Social Security Number

OptionalMax use 1
Usage notes
Example
Variants (all may be used)
REFProperty and Casualty Claim Number
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
SY
Social Security Number
REF-02
127
Subscriber Social Security Number
Required
String (AN)
Min 1Max 50
REF
0350
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Subscriber Name Loop > REF

Property and Casualty Claim Number

OptionalMax use 1
Usage notes
Example
Variants (all may be used)
REFSubscriber Social Security Number
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
Y4
Agency Claim Number
REF-02
127
Property Casualty Claim Number
Required
String (AN)
Min 1Max 50
2010BA Subscriber Name Loop end
2010BB Data Receiver Loop
RequiredMax 1
Variants (all may be used)
Subscriber Name Loop
NM1
0150
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Data Receiver Loop > NM1

Data Receiver

RequiredMax use 1
Example
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
ZD
Party to Receive Reports
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
2
Non-Person Entity
NM1-03
1035
Data Receiver Name
Required
String (AN)
Min 1Max 60
2010BB Data Receiver Loop end
2000C Patient Hierarchical Level Loop
OptionalMax >1
HL
0010
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > HL

Hierarchical Level

RequiredMax use 1
Example
HL-01
628
Hierarchical ID Number
Required
String (AN)
Min 1Max 12
HL-02
734
Hierarchical Parent ID Number
Required
String (AN)
Min 1Max 12
HL-03
735
Hierarchical Level Code
Required
Identifier (ID)
23
Dependent
HL-04
736
Hierarchical Child Code
Optional
Identifier (ID)
0
No Subordinate HL Segment in This Hierarchical Structure.
PAT
0070
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > PAT

Patient Information

RequiredMax use 1
Usage notes
Example
PAT-01
1069
Individual Relationship Code
Required
Identifier (ID)
Usage notes
01
Spouse
19
Child
20
Employee
21
Unknown
39
Organ Donor
40
Cadaver Donor
53
Life Partner
G8
Other Relationship
2010CA Patient Name Loop
RequiredMax 1
NM1
0150
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Patient Name Loop > NM1

Patient Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Patient Primary Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
QC
Patient
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
NM1-03
1035
Patient Last Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Patient First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Patient Middle Name or Initial
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Patient Name Suffix
Optional
String (AN)
Min 1Max 10
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
II
Standard Unique Health Identifier for each Individual in the United States
MI
Member Identification Number
NM1-09
67
Patient Primary Identifier
Optional
String (AN)
Min 2Max 80
N3
0250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Patient Name Loop > N3

Patient Address

RequiredMax use 1
Usage notes
Example
N3-01
166
Patient Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Patient Address Line
Optional
String (AN)
Min 1Max 55
N4
0300
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Patient Name Loop > N4

Patient City, State, ZIP Code

RequiredMax use 1
Usage notes
Example
Only one of Patient State Code (N4-02) or Country Subdivision Code (N4-07) may be present
If Country Subdivision Code (N4-07) is present, then Country Code (N4-04) is required
N4-01
19
Patient City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Patient State Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Patient Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
N4-04
26
Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
DMG
0320
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Patient Name Loop > DMG

Patient Demographic Information

RequiredMax use 1
Usage notes
Example
DMG-01
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DMG-02
1251
Patient Birth Date
Required
String (AN)
Min 1Max 35
DMG-03
1068
Patient Gender Code
Required
Identifier (ID)
F
Female
M
Male
U
Unknown
REF
0350
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Patient Name Loop > REF

Patient Social Security Number

OptionalMax use 1
Usage notes
Example
Variants (all may be used)
REFProperty and Casualty Claim Number
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
SY
Social Security Number
REF-02
127
Patient Social Security Number
Required
String (AN)
Min 1Max 50
REF
0350
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Patient Name Loop > REF

Property and Casualty Claim Number

OptionalMax use 1
Usage notes
Example
Variants (all may be used)
REFPatient Social Security Number
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
Y4
Agency Claim Number
REF-02
127
Property Casualty Claim Number
Required
String (AN)
Min 1Max 50
2010CA Patient Name Loop end
2300 Claim Information Loop
RequiredMax 100
CLM
1300
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > CLM

Claim Information

RequiredMax use 1
Usage notes
Example
CLM-01
1028
Patient Control Number
Required
String (AN)
Min 1Max 38
Usage notes
CLM-02
782
Total Claim Charge Amount
Required
Decimal number (R)
Min 1Max 15
Usage notes
CLM-05
C023
Health Care Service Location Information
RequiredMax use 1
To provide information that identifies the place of service or the type of bill related to the location at which a health care service was rendered
C023-01
1331
Place of Service Code
Required
String (AN)
Min 1Max 2
C023-02
1332
Facility Code Qualifier
Required
Identifier (ID)
B
Place of Service Codes for Professional or Dental Services
C023-03
1325
Claim Frequency Code
Required
Identifier (ID)
Min 1Max 1
CLM-06
1073
Yes No Condition or Response Code
Optional
Identifier (ID)
N
No
Y
Yes
CLM-07
1359
Provider Accept Assignment Code
Optional
Identifier (ID)
Usage notes
A
Assigned
B
Assignment Accepted on Clinical Lab Services Only
C
Not Assigned
CLM-08
1073
Yes No Condition or Response Code
Optional
Identifier (ID)
Usage notes
N
No
W
Not Applicable
Y
Yes
CLM-09
1363
Release of Information Code
Optional
Identifier (ID)
I
Informed Consent to Release Medical Information for Conditions or Diagnoses Regulated by Federal Statutes
Y
Yes, Provider has a Signed Statement Permitting Release of Medical Billing Data Related to a Claim
CLM-10
1351
Patient Signature Source Code
Optional
Identifier (ID)
P
Signature generated by provider because the patient was not physically present for services
CLM-11
C024
Related Causes Information
OptionalMax use 1
To identify one or more related causes and associated state or country information
Usage notes
C024-01
1362
Related Causes Code
Required
Identifier (ID)
AA
Auto Accident
EM
Employment
OA
Other Accident
C024-02
1362
Related Causes Code
Optional
Identifier (ID)
Min 2Max 3
C024-04
156
Auto Accident State or Province Code
Optional
Identifier (ID)
Min 2Max 2
C024-05
26
Country Code
Optional
Identifier (ID)
Min 2Max 3
CLM-12
1366
Special Program Indicator
Optional
Identifier (ID)
02
Physically Handicapped Children's Program
03
Special Federal Funding
05
Disability
09
Second Opinion or Surgery
CLM-20
1514
Delay Reason Code
Optional
Identifier (ID)
1
Proof of Eligibility Unknown or Unavailable
2
Litigation
3
Authorization Delays
4
Delay in Certifying Provider
5
Delay in Supplying Billing Forms
6
Delay in Delivery of Custom-made Appliances
7
Third Party Processing Delay
8
Delay in Eligibility Determination
9
Original Claim Rejected or Denied Due to a Reason Unrelated to the Billing Limitation Rules
10
Administration Delay in the Prior Approval Process
11
Other
15
Natural Disaster
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
439
Accident
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Accident Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
453
Acute Manifestation of a Chronic Condition
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Acute Manifestation Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
435
Admission
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Related Hospitalization Admission Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
090
Report Start
091
Report End
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Assumed or Relinquished Care Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
296
Initial Disability Period Return To Work
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Work Return Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
314
Disability
360
Initial Disability Period Start
361
Initial Disability Period End
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
RD8
Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD
DTP-03
1251
Disability From Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
096
Discharge
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Related Hospitalization Discharge Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
471
Prescription
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Prescription Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
484
Last Menstrual Period
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Last Menstrual Period Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
431
Onset of Current Symptoms or Illness
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Onset of Current Illness or Injury Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
454
Initial Treatment
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Initial Treatment Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
304
Latest Visit or Consultation
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Last Seen Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
297
Initial Disability Period Last Day Worked
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Last Worked Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
455
Last X-Ray
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Last X-Ray Date
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
444
First Visit or Consultation
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Date Time Period
Required
String (AN)
Min 1Max 35
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
050
Received
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Repricer Received Date
Required
String (AN)
Min 1Max 35
PWK
1550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > PWK

Claim Supplemental Information

OptionalMax use 10
Usage notes
Example
If either Identification Code Qualifier (PWK-05) or Attachment Control Number (PWK-06) is present, then the other is required
PWK-01
755
Attachment Report Type Code
Required
Identifier (ID)
03
Report Justifying Treatment Beyond Utilization Guidelines
04
Drugs Administered
05
Treatment Diagnosis
06
Initial Assessment
07
Functional Goals
08
Plan of Treatment
09
Progress Report
10
Continued Treatment
11
Chemical Analysis
13
Certified Test Report
15
Justification for Admission
21
Recovery Plan
A3
Allergies/Sensitivities Document
A4
Autopsy Report
AM
Ambulance Certification
AS
Admission Summary
B2
Prescription
B3
Physician Order
B4
Referral Form
BR
Benchmark Testing Results
BS
Baseline
BT
Blanket Test Results
CB
Chiropractic Justification
CK
Consent Form(s)
CT
Certification
D2
Drug Profile Document
DA
Dental Models
DB
Durable Medical Equipment Prescription
DG
Diagnostic Report
DJ
Discharge Monitoring Report
DS
Discharge Summary
EB
Explanation of Benefits (Coordination of Benefits or Medicare Secondary Payor)
HC
Health Certificate
HR
Health Clinic Records
I5
Immunization Record
IR
State School Immunization Records
LA
Laboratory Results
M1
Medical Record Attachment
MT
Models
NN
Nursing Notes
OB
Operative Note
OC
Oxygen Content Averaging Report
OD
Orders and Treatments Document
OE
Objective Physical Examination (including vital signs) Document
OX
Oxygen Therapy Certification
OZ
Support Data for Claim
P4
Pathology Report
P5
Patient Medical History Document
PE
Parenteral or Enteral Certification
PN
Physical Therapy Notes
PO
Prosthetics or Orthotic Certification
PQ
Paramedical Results
PY
Physician's Report
PZ
Physical Therapy Certification
RB
Radiology Films
RR
Radiology Reports
RT
Report of Tests and Analysis Report
RX
Renewable Oxygen Content Averaging Report
SG
Symptoms Document
V5
Death Notification
XP
Photographs
PWK-02
756
Attachment Transmission Code
Required
Identifier (ID)
AA
Available on Request at Provider Site
BM
By Mail
EL
Electronically Only
EM
E-Mail
FT
File Transfer
FX
By Fax
PWK-05
66
Identification Code Qualifier
Optional
Identifier (ID)
AC
Attachment Control Number
PWK-06
67
Attachment Control Number
Optional
String (AN)
Min 2Max 80
Usage notes
CN1
1600
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > CN1

Contract Information

OptionalMax use 1
Usage notes
Example
CN1-01
1166
Contract Type Code
Required
Identifier (ID)
01
Diagnosis Related Group (DRG)
02
Per Diem
03
Variable Per Diem
04
Flat
05
Capitated
06
Percent
09
Other
CN1-02
782
Contract Amount
Optional
Decimal number (R)
Min 1Max 15
CN1-03
332
Contract Percentage
Optional
Decimal number (R)
Min 1Max 6
CN1-04
127
Contract Code
Optional
String (AN)
Min 1Max 50
CN1-05
338
Terms Discount Percentage
Optional
Decimal number (R)
Min 1Max 6
CN1-06
799
Contract Version Identifier
Optional
String (AN)
Min 1Max 30
AMT
1750
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > AMT

Patient Amount Paid

OptionalMax use 1
Usage notes
Example
AMT-01
522
Amount Qualifier Code
Required
Identifier (ID)
F5
Patient Amount Paid
AMT-02
782
Patient Amount Paid
Required
Decimal number (R)
Min 1Max 15
REF
1800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > REF

Adjusted Repriced Claim Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
9C
Adjusted Repriced Claim Reference Number
REF-02
127
Adjusted Repriced Claim Reference Number
Required
String (AN)
Min 1Max 50
REF
1800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > REF

Investigational Device Exemption Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
LX
Qualified Products List
REF-02
127
Investigational Device Exemption Identifier
Required
String (AN)
Min 1Max 50
REF
1800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > REF

Claim Identifier For Transmission Intermediaries

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
Usage notes
D9
Claim Number
REF-02
127
Value Added Network Trace Number
Required
String (AN)
Min 1Max 50
Usage notes
REF
1800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > REF

Mammography Certification Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
EW
Mammography Certification Number
REF-02
127
Mammography Certification Number
Required
String (AN)
Min 1Max 50
REF
1800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > REF

Prior Authorization

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
G1
Prior Authorization Number
REF-02
127
Prior Authorization Number
Required
String (AN)
Min 1Max 50
REF
1800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > REF

Payer Claim Control Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
F8
Original Reference Number
REF-02
127
Payer Claim Control Number
Required
String (AN)
Min 1Max 50
REF
1800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > REF

Clinical Laboratory Improvement Amendment (CLIA) Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
X4
Clinical Laboratory Improvement Amendment Number
REF-02
127
Clinical Laboratory Improvement Amendment Number
Required
String (AN)
Min 1Max 50
REF
1800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > REF

Medical Record Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
EA
Medical Record Identification Number
REF-02
127
Medical Record Number
Required
String (AN)
Min 1Max 50
REF
1800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > REF

Referral Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
9F
Referral Number
REF-02
127
Referral Number
Required
String (AN)
Min 1Max 50
REF
1800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > REF

Repriced Claim Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
9A
Repriced Claim Reference Number
REF-02
127
Repriced Claim Reference Number
Required
String (AN)
Min 1Max 50
REF
1800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > REF

Service Authorization Exception Code

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
4N
Special Payment Reference Number
REF-02
127
Service Authorization Exception Code
Required
String (AN)
Min 1Max 50
Usage notes
K3
1850
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > K3

File Information

OptionalMax use 10
Usage notes
Example
K3-01
449
Fixed Format Information
Required
String (AN)
Min 1Max 80
NTE
1900
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > NTE

Claim Note

OptionalMax use 1
Usage notes
Example
NTE-01
363
Note Reference Code
Required
Identifier (ID)
AAD
Nationality Details
CER
Certification Narrative
DCP
Goals, Rehabilitation Potential, or Discharge Plans
DGN
Diagnosis Description
TPO
Third Party Organization Notes
NTE-02
352
Claim Note Text
Required
String (AN)
Min 1Max 80
CR1
1950
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > CR1

Ambulance Transport Information

OptionalMax use 1
Usage notes
Example
If either Unit or Basis for Measurement Code (CR1-01) or Patient Weight (CR1-02) is present, then the other is required
CR1-01
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)
LB
Pound
CR1-02
81
Patient Weight
Optional
Decimal number (R)
Min 1Max 10
CR1-04
1317
Ambulance Transport Reason Code
Required
Identifier (ID)
A
Patient was transported to nearest facility for care of symptoms, complaints, or both
B
Patient was transported for the benefit of a preferred physician
C
Patient was transported for the nearness of family members
D
Patient was transported for the care of a specialist or for availability of specialized equipment
E
Patient Transferred to Rehabilitation Facility
CR1-05
355
Unit or Basis for Measurement Code
Required
Identifier (ID)
DH
Miles
CR1-06
380
Transport Distance
Required
Decimal number (R)
Min 1Max 15
Usage notes
CR1-09
352
Round Trip Purpose Description
Optional
String (AN)
Min 1Max 80
CR1-10
352
Stretcher Purpose Description
Optional
String (AN)
Min 1Max 80
CR2
2000
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > CR2

Spinal Manipulation Service Information

OptionalMax use 1
Usage notes
Example
CR2-08
1342
Patient Condition Code
Required
Identifier (ID)
A
Acute Condition
C
Chronic Condition
D
Non-acute
E
Non-Life Threatening
F
Routine
G
Symptomatic
M
Acute Manifestation of a Chronic Condition
CR2-10
352
Patient Condition Description
Optional
String (AN)
Min 1Max 80
CR2-11
352
Patient Condition Description
Optional
String (AN)
Min 1Max 80
CRC
2200
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > CRC

Ambulance Certification

OptionalMax use 3
Usage notes
Example
CRC-01
1136
Code Category
Required
Identifier (ID)
07
Ambulance Certification
CRC-02
1073
Certification Condition Indicator
Required
Identifier (ID)
N
No
Y
Yes
CRC-03
1321
Condition Code
Required
Identifier (ID)
01
Patient was admitted to a hospital
04
Patient was moved by stretcher
05
Patient was unconscious or in shock
06
Patient was transported in an emergency situation
07
Patient had to be physically restrained
08
Patient had visible hemorrhaging
09
Ambulance service was medically necessary
12
Patient is confined to a bed or chair
CRC-04
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC-05
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC-06
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC-07
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC
2200
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > CRC

Patient Condition Information: Vision

OptionalMax use 3
Usage notes
Example
CRC-01
1136
Code Category
Required
Identifier (ID)
E1
Spectacle Lenses
E2
Contact Lenses
E3
Spectacle Frames
CRC-02
1073
Certification Condition Indicator
Required
Identifier (ID)
N
No
Y
Yes
CRC-03
1321
Condition Code
Required
Identifier (ID)
L1
General Standard of 20 Degree or .5 Diopter Sphere or Cylinder Change Met
L2
Replacement Due to Loss or Theft
L3
Replacement Due to Breakage or Damage
L4
Replacement Due to Patient Preference
L5
Replacement Due to Medical Reason
CRC-04
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC-05
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC-06
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC-07
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC
2200
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > CRC

Homebound Indicator

OptionalMax use 1
Usage notes
Example
CRC-01
1136
Condition Code
Required
Identifier (ID)
75
Functional Limitations
CRC-02
1073
Certification Condition Indicator
Required
Identifier (ID)
Y
Yes
CRC-03
1321
Homebound Indicator
Required
Identifier (ID)
IH
Independent at Home
CRC
2200
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > CRC

EPSDT Referral

OptionalMax use 1
Usage notes
Example
CRC-01
1136
Code Qualifier
Required
Identifier (ID)
ZZ
Mutually Defined
CRC-02
1073
Certification Condition Code Applies Indicator
Required
Identifier (ID)
Usage notes
N
No
Y
Yes
CRC-03
1321
Condition Indicator
Required
Identifier (ID)
Usage notes
AV
Available - Not Used
NU
Not Used
S2
Under Treatment
ST
New Services Requested
CRC-04
1321
Condition Indicator
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC-05
1321
Condition Indicator
Optional
Identifier (ID)
Min 2Max 3
Usage notes
HI
2310
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > HI

Health Care Diagnosis Code

RequiredMax use 1
Usage notes
Example
HI-01
C022
Health Care Code Information
RequiredMax use 1
To send health care codes and their associated dates, amounts and quantities
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABK
International Classification of Diseases Clinical Modification (ICD-10-CM) Principal Diagnosis
BK
International Classification of Diseases Clinical Modification (ICD-9-CM) Principal Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI-02
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABF
International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis
BF
International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI-03
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABF
International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis
BF
International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI-04
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABF
International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis
BF
International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI-05
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABF
International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis
BF
International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI-06
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABF
International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis
BF
International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI-07
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABF
International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis
BF
International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI-08
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABF
International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis
BF
International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI-09
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABF
International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis
BF
International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI-10
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABF
International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis
BF
International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI-11
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABF
International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis
BF
International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI-12
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Diagnosis Type Code
Required
Identifier (ID)
ABF
International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis
BF
International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
C022-02
1271
Diagnosis Code
Required
String (AN)
Min 1Max 30
HI
2310
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > HI

Anesthesia Related Procedure

OptionalMax use 1
Usage notes
Example
HI-01
C022
Health Care Code Information
RequiredMax use 1
To send health care codes and their associated dates, amounts and quantities
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BP
Health Care Financing Administration Common Procedural Coding System Principal Procedure
C022-02
1271
Anesthesia Related Surgical Procedure
Required
String (AN)
Min 1Max 30
HI-02
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BO
Health Care Financing Administration Common Procedural Coding System
C022-02
1271
Industry Code
Required
String (AN)
Min 1Max 30
HI
2310
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > HI

Condition Information

OptionalMax use 2
Usage notes
Example
HI-01
C022
Health Care Code Information
RequiredMax use 1
To send health care codes and their associated dates, amounts and quantities
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HI-02
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HI-03
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HI-04
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HI-05
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HI-06
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HI-07
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HI-08
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HI-09
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HI-10
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HI-11
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HI-12
C022
Health Care Code Information
OptionalMax use 1
To send health care codes and their associated dates, amounts and quantities
Usage notes
C022-01
1270
Code List Qualifier Code
Required
Identifier (ID)
BG
Condition
C022-02
1271
Condition Code
Required
String (AN)
Min 1Max 30
HCP
2410
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > HCP

Claim Pricing/Repricing Information

OptionalMax use 1
Usage notes
Example
HCP-01
1473
Pricing Methodology
Required
Identifier (ID)
Usage notes
00
Zero Pricing (Not Covered Under Contract)
01
Priced as Billed at 100%
02
Priced at the Standard Fee Schedule
03
Priced at a Contractual Percentage
04
Bundled Pricing
05
Peer Review Pricing
06
Per Diem Pricing
07
Flat Rate Pricing
08
Combination Pricing
09
Maternity Pricing
10
Other Pricing
11
Lower of Cost
12
Ratio of Cost
13
Cost Reimbursed
14
Adjustment Pricing
HCP-02
782
Repriced Allowed Amount
Required
Decimal number (R)
Min 1Max 15
HCP-03
782
Repriced Saving Amount
Optional
Decimal number (R)
Min 1Max 15
HCP-04
127
Repricing Organization Identifier
Optional
String (AN)
Min 1Max 50
HCP-05
118
Repricing Per Diem or Flat Rate Amount
Optional
Decimal number (R)
Min 1Max 9
HCP-06
127
Repriced Approved Ambulatory Patient Group (APG) Code
Optional
String (AN)
Min 1Max 50
HCP-07
782
Repriced Approved Ambulatory Patient Group (APG) Amount
Optional
Decimal number (R)
Min 1Max 15
HCP-13
901
Reject Reason Code
Optional
Identifier (ID)
T1
Cannot Identify Provider as TPO (Third Party Organization) Participant
T2
Cannot Identify Payer as TPO (Third Party Organization) Participant
T3
Cannot Identify Insured as TPO (Third Party Organization) Participant
T4
Payer Name or Identifier Missing
T5
Certification Information Missing
T6
Claim does not contain enough information for re-pricing
HCP-14
1526
Policy Compliance Code
Optional
Identifier (ID)
1
Procedure Followed (Compliance)
2
Not Followed - Call Not Made (Non-Compliance Call Not Made)
3
Not Medically Necessary (Non-Compliance Non-Medically Necessary)
4
Not Followed Other (Non-Compliance Other)
5
Emergency Admit to Non-Network Hospital
HCP-15
1527
Exception Code
Optional
Identifier (ID)
1
Non-Network Professional Provider in Network Hospital
2
Emergency Care
3
Services or Specialist not in Network
4
Out-of-Service Area
5
State Mandates
6
Other
NM1
2500
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Referring Provider Name Loop > NM1

Referring Provider Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Referring Provider Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
DN
Referring Provider
P3
Primary Care Provider
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
NM1-03
1035
Referring Provider Last Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Referring Provider First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Referring Provider Middle Name or Initial
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Referring Provider Name Suffix
Optional
String (AN)
Min 1Max 10
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
XX
Centers for Medicare and Medicaid Services National Provider Identifier
NM1-09
67
Referring Provider Identifier
Optional
String (AN)
Min 2Max 80
Usage notes
REF
2710
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Referring Provider Name Loop > REF

Referring Provider Secondary Identification

OptionalMax use 2
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
0B
State License Number
G2
Provider Commercial Number
REF-02
127
Referring Provider Secondary Identifier
Required
String (AN)
Min 1Max 50
2310A Referring Provider Name Loop end
NM1
2500
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Rendering Provider Name Loop > NM1

Rendering Provider Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Rendering Provider Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
82
Rendering Provider
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
2
Non-Person Entity
NM1-03
1035
Rendering Provider Last or Organization Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Rendering Provider First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Rendering Provider Middle Name or Initial
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Rendering Provider Name Suffix
Optional
String (AN)
Min 1Max 10
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
XX
Centers for Medicare and Medicaid Services National Provider Identifier
NM1-09
67
Rendering Provider Identifier
Optional
String (AN)
Min 2Max 80
Usage notes
PRV
2550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Rendering Provider Name Loop > PRV

Rendering Provider Specialty Information

OptionalMax use 1
Usage notes
Example
PRV-01
1221
Provider Code
Required
Identifier (ID)
PE
Performing
PRV-02
128
Reference Identification Qualifier
Required
Identifier (ID)
PXC
Health Care Provider Taxonomy Code
PRV-03
127
Provider Taxonomy Code
Required
String (AN)
Min 1Max 50
REF
2710
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Rendering Provider Name Loop > REF

Rendering Provider Secondary Identification

OptionalMax use 3
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
0B
State License Number
G2
Provider Commercial Number
LU
Location Number
REF-02
127
Rendering Provider Secondary Identifier
Required
String (AN)
Min 1Max 50
2310B Rendering Provider Name Loop end
NM1
2500
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Facility Location Name Loop > NM1

Service Facility Location Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Laboratory or Facility Primary Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
77
Service Location
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
2
Non-Person Entity
NM1-03
1035
Laboratory or Facility Name
Required
String (AN)
Min 1Max 60
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
XX
Centers for Medicare and Medicaid Services National Provider Identifier
NM1-09
67
Laboratory or Facility Primary Identifier
Optional
String (AN)
Min 2Max 80
Usage notes
N3
2650
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Facility Location Name Loop > N3

Service Facility Location Address

RequiredMax use 1
Usage notes
Example
N3-01
166
Laboratory or Facility Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Laboratory or Facility Address Line
Optional
String (AN)
Min 1Max 55
N4
2700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Facility Location Name Loop > N4

Service Facility Location City, State, ZIP Code

RequiredMax use 1
Usage notes
Example
Only one of Laboratory or Facility State or Province Code (N4-02) or Country Subdivision Code (N4-07) may be present
If Country Subdivision Code (N4-07) is present, then Country Code (N4-04) is required
N4-01
19
Laboratory or Facility City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Laboratory or Facility State or Province Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Laboratory or Facility Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
Usage notes
N4-04
26
Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
REF
2710
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Facility Location Name Loop > REF

Service Facility Location Secondary Identification

OptionalMax use 3
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
0B
State License Number
G2
Provider Commercial Number
LU
Location Number
REF-02
127
Laboratory or Facility Secondary Identifier
Required
String (AN)
Min 1Max 50
2310C Service Facility Location Name Loop end
NM1
2500
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Supervising Provider Name Loop > NM1

Supervising Provider Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Supervising Provider Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
DQ
Supervising Physician
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
NM1-03
1035
Supervising Provider Last Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Supervising Provider First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Supervising Provider Middle Name or Initial
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Supervising Provider Name Suffix
Optional
String (AN)
Min 1Max 10
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
XX
Centers for Medicare and Medicaid Services National Provider Identifier
NM1-09
67
Supervising Provider Identifier
Optional
String (AN)
Min 2Max 80
Usage notes
REF
2710
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Supervising Provider Name Loop > REF

Supervising Provider Secondary Identification

OptionalMax use 3
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
0B
State License Number
G2
Provider Commercial Number
LU
Location Number
REF-02
127
Supervising Provider Secondary Identifier
Required
String (AN)
Min 1Max 50
2310D Supervising Provider Name Loop end
NM1
2500
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Ambulance Pick-up Location Loop > NM1

Ambulance Pick-up Location

RequiredMax use 1
Usage notes
Example
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
PW
Pickup Address
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
2
Non-Person Entity
N3
2650
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Ambulance Pick-up Location Loop > N3

Ambulance Pick-up Location Address

RequiredMax use 1
Usage notes
Example
N3-01
166
Ambulance Pick-up Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Ambulance Pick-up Address Line
Optional
String (AN)
Min 1Max 55
N4
2700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Ambulance Pick-up Location Loop > N4

Ambulance Pick-up Location City, State, ZIP Code

RequiredMax use 1
Usage notes
Example
Only one of Ambulance Pick-up State or Province Code (N4-02) or Country Subdivision Code (N4-07) may be present
If Country Subdivision Code (N4-07) is present, then Country Code (N4-04) is required
N4-01
19
Ambulance Pick-up City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Ambulance Pick-up State or Province Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Ambulance Pick-up Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
N4-04
26
Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
2310E Ambulance Pick-up Location Loop end
NM1
2500
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Ambulance Drop-Off Location Loop > NM1

Ambulance Drop-Off Location

RequiredMax use 1
Usage notes
Example
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
45
Drop-off Location
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
2
Non-Person Entity
NM1-03
1035
Ambulance Drop-off Location
Optional
String (AN)
Min 1Max 60
N3
2650
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Ambulance Drop-Off Location Loop > N3

Ambulance Drop-Off Location Address

RequiredMax use 1
Example
N3-01
166
Ambulance Drop-off Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Ambulance Drop-off Address Line
Optional
String (AN)
Min 1Max 55
N4
2700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Ambulance Drop-Off Location Loop > N4

Ambulance Drop-Off Location City, State, ZIP Code

RequiredMax use 1
Example
Only one of Ambulance Drop-off State or Province Code (N4-02) or Ambulance Drop-off Country Subdivision Code (N4-07) may be present
If Ambulance Drop-off Country Subdivision Code (N4-07) is present, then Ambulance Drop-off Country Code (N4-04) is required
N4-01
19
Ambulance Drop-off City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Ambulance Drop-off State or Province Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Ambulance Drop-off Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
N4-04
26
Ambulance Drop-off Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Ambulance Drop-off Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
2310F Ambulance Drop-Off Location Loop end
2320 Other Subscriber Information Loop
RequiredMax 10
SBR
2900
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > SBR

Other Subscriber Information

RequiredMax use 1
Usage notes
Example
SBR-01
1138
Payer Responsibility Sequence Number Code
Required
Identifier (ID)
Usage notes
A
Payer Responsibility Four
B
Payer Responsibility Five
C
Payer Responsibility Six
D
Payer Responsibility Seven
E
Payer Responsibility Eight
F
Payer Responsibility Nine
G
Payer Responsibility Ten
H
Payer Responsibility Eleven
P
Primary
S
Secondary
T
Tertiary
U
Unknown
SBR-02
1069
Individual Relationship Code
Required
Identifier (ID)
01
Spouse
18
Self
19
Child
20
Employee
21
Unknown
39
Organ Donor
40
Cadaver Donor
53
Life Partner
G8
Other Relationship
SBR-03
127
Insured Group or Policy Number
Optional
String (AN)
Min 1Max 50
Usage notes
SBR-04
93
Other Insured Group Name
Optional
String (AN)
Min 1Max 60
SBR-06
1143
Coordination of Benefits Code
Required
Identifier (ID)
1
Coordination of Benefits
6
No Coordination of Benefits
SBR-09
1032
Claim Filing Indicator Code
Required
Identifier (ID)
11
Other Non-Federal Programs
12
Preferred Provider Organization (PPO)
13
Point of Service (POS)
14
Exclusive Provider Organization (EPO)
15
Indemnity Insurance
16
Health Maintenance Organization (HMO) Medicare Risk
17
Dental Maintenance Organization
AM
Automobile Medical
BL
Blue Cross/Blue Shield
CH
Champus
CI
Commercial Insurance Co.
DS
Disability
FI
Federal Employees Program
HM
Health Maintenance Organization
LM
Liability Medical
MA
Medicare Part A
MB
Medicare Part B
MC
Medicaid
OF
Other Federal Program
TV
Title V
VA
Veterans Affairs Plan
WC
Workers' Compensation Health Claim
ZZ
Mutually Defined
CAS
2950
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > CAS

Claim Level Adjustments

OptionalMax use 5
Usage notes
Example
If Adjustment Reason Code (CAS-05) is present, then at least one of Adjustment Amount (CAS-06) or Adjustment Quantity (CAS-07) is required
If Adjustment Amount (CAS-06) is present, then Adjustment Reason Code (CAS-05) is required
If Adjustment Quantity (CAS-07) is present, then Adjustment Reason Code (CAS-05) is required
If Adjustment Reason Code (CAS-08) is present, then at least one of Adjustment Amount (CAS-09) or Adjustment Quantity (CAS-10) is required
If Adjustment Amount (CAS-09) is present, then Adjustment Reason Code (CAS-08) is required
If Adjustment Quantity (CAS-10) is present, then Adjustment Reason Code (CAS-08) is required
If Adjustment Reason Code (CAS-11) is present, then at least one of Adjustment Amount (CAS-12) or Adjustment Quantity (CAS-13) is required
If Adjustment Amount (CAS-12) is present, then Adjustment Reason Code (CAS-11) is required
If Adjustment Quantity (CAS-13) is present, then Adjustment Reason Code (CAS-11) is required
If Adjustment Reason Code (CAS-14) is present, then at least one of Adjustment Amount (CAS-15) or Adjustment Quantity (CAS-16) is required
If Adjustment Amount (CAS-15) is present, then Adjustment Reason Code (CAS-14) is required
If Adjustment Quantity (CAS-16) is present, then Adjustment Reason Code (CAS-14) is required
If Adjustment Reason Code (CAS-17) is present, then at least one of Adjustment Amount (CAS-18) or Adjustment Quantity (CAS-19) is required
If Adjustment Amount (CAS-18) is present, then Adjustment Reason Code (CAS-17) is required
If Adjustment Quantity (CAS-19) is present, then Adjustment Reason Code (CAS-17) is required
CAS-01
1033
Claim Adjustment Group Code
Required
Identifier (ID)
CO
Contractual Obligations
OA
Other adjustments
PI
Payor Initiated Reductions
PR
Patient Responsibility
CAS-02
1034
Adjustment Reason Code
Required
Identifier (ID)
Min 1Max 5
Usage notes
CAS-03
782
Adjustment Amount
Required
Decimal number (R)
Min 1Max 15
CAS-04
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
CAS-05
1034
Adjustment Reason Code
Optional
Identifier (ID)
Min 1Max 5
CAS-06
782
Adjustment Amount
Optional
Decimal number (R)
Min 1Max 15
CAS-07
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
CAS-08
1034
Adjustment Reason Code
Optional
Identifier (ID)
Min 1Max 5
CAS-09
782
Adjustment Amount
Optional
Decimal number (R)
Min 1Max 15
CAS-10
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
CAS-11
1034
Adjustment Reason Code
Optional
Identifier (ID)
Min 1Max 5
CAS-12
782
Adjustment Amount
Optional
Decimal number (R)
Min 1Max 15
CAS-13
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
CAS-14
1034
Adjustment Reason Code
Optional
Identifier (ID)
Min 1Max 5
CAS-15
782
Adjustment Amount
Optional
Decimal number (R)
Min 1Max 15
CAS-16
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
CAS-17
1034
Adjustment Reason Code
Optional
Identifier (ID)
Min 1Max 5
CAS-18
782
Adjustment Amount
Optional
Decimal number (R)
Min 1Max 15
CAS-19
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
AMT
3000
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > AMT

Coordination of Benefits (COB) Payer Paid Amount

RequiredMax use 1
Example
Variants (all may be used)
AMTRemaining Patient Liability
AMT-01
522
Amount Qualifier Code
Required
Identifier (ID)
D
Payor Amount Paid
AMT-02
782
Payer Paid Amount
Required
Decimal number (R)
Min 1Max 15
Usage notes
AMT
3000
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > AMT

Remaining Patient Liability

OptionalMax use 1
Usage notes
Example
AMT-01
522
Amount Qualifier Code
Required
Identifier (ID)
EAF
Amount Owed
AMT-02
782
Remaining Patient Liability
Required
Decimal number (R)
Min 1Max 15
MOA
3200
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > MOA

Outpatient Adjudication Information

OptionalMax use 1
Usage notes
Example
MOA-01
954
Reimbursement Rate
Optional
Decimal number (R)
Min 1Max 10
MOA-02
782
HCPCS Payable Amount
Optional
Decimal number (R)
Min 1Max 15
MOA-03
127
Claim Payment Remark Code
Optional
String (AN)
Min 1Max 50
MOA-04
127
Claim Payment Remark Code
Optional
String (AN)
Min 1Max 50
MOA-05
127
Claim Payment Remark Code
Optional
String (AN)
Min 1Max 50
MOA-06
127
Claim Payment Remark Code
Optional
String (AN)
Min 1Max 50
MOA-07
127
Claim Payment Remark Code
Optional
String (AN)
Min 1Max 50
MOA-08
782
End Stage Renal Disease Payment Amount
Optional
Decimal number (R)
Min 1Max 15
MOA-09
782
Non-Payable Professional Component Billed Amount
Optional
Decimal number (R)
Min 1Max 15
2330A Other Subscriber Name Loop
RequiredMax 1
NM1
3250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Subscriber Name Loop > NM1

Other Subscriber Name

RequiredMax use 1
Usage notes
Example
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
IL
Insured or Subscriber
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
2
Non-Person Entity
NM1-03
1035
Other Insured Last Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Other Insured First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Other Insured Middle Name
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Other Insured Name Suffix
Optional
String (AN)
Min 1Max 10
NM1-08
66
Identification Code Qualifier
Required
Identifier (ID)
II
Standard Unique Health Identifier for each Individual in the United States
MI
Member Identification Number
NM1-09
67
Other Insured Identifier
Required
String (AN)
Min 2Max 80
N3
3320
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Subscriber Name Loop > N3

Other Subscriber Address

OptionalMax use 1
Usage notes
Example
N3-01
166
Other Subscriber Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Other Insured Address Line
Optional
String (AN)
Min 1Max 55
Usage notes
N4
3400
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Subscriber Name Loop > N4

Other Subscriber City, State, ZIP Code

OptionalMax use 1
Usage notes
Example
Only one of Other Subscriber State or Province Code (N4-02) or Country Subdivision Code (N4-07) may be present
If Country Subdivision Code (N4-07) is present, then Country Code (N4-04) is required
N4-01
19
Other Subscriber City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Other Subscriber State or Province Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Other Subscriber Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
N4-04
26
Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
REF
3550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Subscriber Name Loop > REF

Other Subscriber Social Security Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
SY
Social Security Number
REF-02
127
Other Insured Additional Identifier
Required
String (AN)
Min 1Max 50
2330A Other Subscriber Name Loop end
2330B Other Payer Name Loop
RequiredMax 1
NM1
3250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Payer Name Loop > NM1

Other Payer Name

RequiredMax use 1
Example
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
PR
Payer
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
2
Non-Person Entity
NM1-03
1035
Other Payer Organization Name
Required
String (AN)
Min 1Max 60
NM1-08
66
Identification Code Qualifier
Required
Identifier (ID)
Usage notes
PI
Payor Identification
XV
Centers for Medicare and Medicaid Services PlanID
NM1-09
67
Other Payer Primary Identifier
Required
String (AN)
Min 2Max 80
Usage notes
DTP
3450
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Payer Name Loop > DTP

Claim Check or Remittance Date

RequiredMax use 1
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
573
Date Claim Paid
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Adjudication or Payment Date
Required
String (AN)
Min 1Max 35
REF
3550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Payer Name Loop > REF

Other Payer Secondary Identifier

OptionalMax use 4
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
2U
Payer Identification Number
EI
Employer's Identification Number
FY
Claim Office Number
NF
National Association of Insurance Commissioners (NAIC) Code
REF-02
127
Other Payer Secondary Identifier
Required
String (AN)
Min 1Max 50
REF
3550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Payer Name Loop > REF

Other Payer Claim Adjustment Indicator

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
T4
Signal Code
REF-02
127
Other Payer Claim Adjustment Indicator
Required
String (AN)
Min 1Max 50
Usage notes
REF
3550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Payer Name Loop > REF

Other Payer Claim Control Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
F8
Original Reference Number
REF-02
127
Other Payer's Claim Control Number
Required
String (AN)
Min 1Max 50
REF
3550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Payer Name Loop > REF

Other Payer Adjusted Claim Control Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
BP
Adjustment Control Number
REF-02
127
Other Payer's Adjusted Claim Control Number
Required
String (AN)
Min 1Max 50
2330B Other Payer Name Loop end
2330C Other Patient Name Loop
OptionalMax 1
NM1
3250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Patient Name Loop > NM1

Other Patient Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Other Insured Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
QC
Patient
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
NM1-03
1035
Other Insured Last Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Other Insured First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Other Insured Middle Name
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Other Insured Name Suffix
Optional
String (AN)
Min 1Max 10
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
II
Standard Unique Health Identifier for each Individual in the United States
MI
Member Identification Number
NM1-09
67
Other Insured Identifier
Optional
String (AN)
Min 2Max 80
N3
3320
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Patient Name Loop > N3

Other Patient Address

OptionalMax use 1
Usage notes
Example
N3-01
166
Other Patient Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Other Patient Address Line
Optional
String (AN)
Min 1Max 55
Usage notes
N4
3400
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Patient Name Loop > N4

Other Patient City, State, ZIP Code

OptionalMax use 1
Usage notes
Example
Only one of Other Patient State or Province Code (N4-02) or Country Subdivision Code (N4-07) may be present
If Country Subdivision Code (N4-07) is present, then Country Code (N4-04) is required
N4-01
19
Other Patient City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Other Patient State or Province Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Other Patient Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
N4-04
26
Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
REF
3550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Other Subscriber Information Loop > Other Patient Name Loop > REF

Other Patient Secondary Identification

OptionalMax use 3
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
SY
Social Security Number
REF-02
127
Other Insured Additional Identifier
Required
String (AN)
Min 1Max 50
2330C Other Patient Name Loop end
2320 Other Subscriber Information Loop end
2400 Service Line Number Loop
RequiredMax 50
LX
3650
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > LX

Service Line Number

RequiredMax use 1
Usage notes
Example
LX-01
554
Assigned Number
Required
Numeric (N0)
Min 1Max 6
SV1
3700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > SV1

Professional Service

RequiredMax use 1
Example
SV1-01
C003
Composite Medical Procedure Identifier
RequiredMax use 1
To identify a medical procedure by its standardized codes and applicable modifiers
C003-01
235
Product or Service ID Qualifier
Required
Identifier (ID)
Usage notes
ER
Jurisdiction Specific Procedure and Supply Codes
HC
Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes
WK
Advanced Billing Concepts (ABC) Codes
C003-02
234
Procedure Code
Required
String (AN)
Min 1Max 48
C003-03
1339
Procedure Modifier
Optional
String (AN)
Min 2Max 2
C003-04
1339
Procedure Modifier
Optional
String (AN)
Min 2Max 2
C003-05
1339
Procedure Modifier
Optional
String (AN)
Min 2Max 2
C003-06
1339
Procedure Modifier
Optional
String (AN)
Min 2Max 2
C003-07
352
Description
Optional
String (AN)
Min 1Max 80
SV1-02
782
Line Item Charge Amount
Required
Decimal number (R)
Min 1Max 15
Usage notes
SV1-03
355
Unit or Basis for Measurement Code
Required
Identifier (ID)
Usage notes
MJ
Minutes
UN
Unit
SV1-04
380
Service Unit Count
Required
Decimal number (R)
Min 1Max 15
Usage notes
SV1-05
1331
Place of Service Code
Optional
String (AN)
Min 1Max 2
Usage notes
SV1-07
C004
Composite Diagnosis Code Pointer
RequiredMax use 1
To identify one or more diagnosis code pointers
C004-01
1328
Diagnosis Code Pointer
Required
Numeric (N0)
Min 1Max 2
Usage notes
C004-02
1328
Diagnosis Code Pointer
Optional
Numeric (N0)
Min 1Max 2
C004-03
1328
Diagnosis Code Pointer
Optional
Numeric (N0)
Min 1Max 2
C004-04
1328
Diagnosis Code Pointer
Optional
Numeric (N0)
Min 1Max 2
SV1-09
1073
Emergency Indicator
Optional
Identifier (ID)
Usage notes
Y
Yes
SV1-11
1073
EPSDT Indicator
Optional
Identifier (ID)
Usage notes
Y
Yes
SV1-12
1073
Family Planning Indicator
Optional
Identifier (ID)
Usage notes
Y
Yes
SV1-15
1327
Copay Status Code
Optional
Identifier (ID)
Usage notes
0
Copay exempt
PWK
4200
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > PWK

Line Supplemental Information

OptionalMax use 10
Usage notes
Example
If either Identification Code Qualifier (PWK-05) or Attachment Control Number (PWK-06) is present, then the other is required
PWK-01
755
Attachment Report Type Code
Required
Identifier (ID)
03
Report Justifying Treatment Beyond Utilization Guidelines
04
Drugs Administered
05
Treatment Diagnosis
06
Initial Assessment
07
Functional Goals
08
Plan of Treatment
09
Progress Report
10
Continued Treatment
11
Chemical Analysis
13
Certified Test Report
15
Justification for Admission
21
Recovery Plan
A3
Allergies/Sensitivities Document
A4
Autopsy Report
AM
Ambulance Certification
AS
Admission Summary
B2
Prescription
B3
Physician Order
B4
Referral Form
BR
Benchmark Testing Results
BS
Baseline
BT
Blanket Test Results
CB
Chiropractic Justification
CK
Consent Form(s)
CT
Certification
D2
Drug Profile Document
DA
Dental Models
DB
Durable Medical Equipment Prescription
DG
Diagnostic Report
DJ
Discharge Monitoring Report
DS
Discharge Summary
EB
Explanation of Benefits (Coordination of Benefits or Medicare Secondary Payor)
HC
Health Certificate
HR
Health Clinic Records
I5
Immunization Record
IR
State School Immunization Records
LA
Laboratory Results
M1
Medical Record Attachment
MT
Models
NN
Nursing Notes
OB
Operative Note
OC
Oxygen Content Averaging Report
OD
Orders and Treatments Document
OE
Objective Physical Examination (including vital signs) Document
OX
Oxygen Therapy Certification
OZ
Support Data for Claim
P4
Pathology Report
P5
Patient Medical History Document
PE
Parenteral or Enteral Certification
PN
Physical Therapy Notes
PO
Prosthetics or Orthotic Certification
PQ
Paramedical Results
PY
Physician's Report
PZ
Physical Therapy Certification
RB
Radiology Films
RR
Radiology Reports
RT
Report of Tests and Analysis Report
RX
Renewable Oxygen Content Averaging Report
SG
Symptoms Document
V5
Death Notification
XP
Photographs
PWK-02
756
Attachment Transmission Code
Required
Identifier (ID)
AA
Available on Request at Provider Site
BM
By Mail
EL
Electronically Only
EM
E-Mail
FT
File Transfer
FX
By Fax
PWK-05
66
Identification Code Qualifier
Optional
Identifier (ID)
AC
Attachment Control Number
PWK-06
67
Attachment Control Number
Optional
String (AN)
Min 2Max 80
Usage notes
PWK
4200
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > PWK

Durable Medical Equipment Certificate of Medical Necessity Indicator

OptionalMax use 1
Usage notes
Example
Variants (all may be used)
PWKLine Supplemental Information
PWK-01
755
Attachment Report Type Code
Required
Identifier (ID)
CT
Certification
PWK-02
756
Attachment Transmission Code
Required
Identifier (ID)
AB
Previously Submitted to Payer
AD
Certification Included in this Claim
AF
Narrative Segment Included in this Claim
AG
No Documentation is Required
NS
Not Specified
CR1
4250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > CR1

Ambulance Transport Information

OptionalMax use 1
Usage notes
Example
If either Unit or Basis for Measurement Code (CR1-01) or Patient Weight (CR1-02) is present, then the other is required
CR1-01
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)
LB
Pound
CR1-02
81
Patient Weight
Optional
Decimal number (R)
Min 1Max 10
CR1-04
1317
Ambulance Transport Reason Code
Required
Identifier (ID)
A
Patient was transported to nearest facility for care of symptoms, complaints, or both
B
Patient was transported for the benefit of a preferred physician
C
Patient was transported for the nearness of family members
D
Patient was transported for the care of a specialist or for availability of specialized equipment
E
Patient Transferred to Rehabilitation Facility
CR1-05
355
Unit or Basis for Measurement Code
Required
Identifier (ID)
DH
Miles
CR1-06
380
Transport Distance
Required
Decimal number (R)
Min 1Max 15
Usage notes
CR1-09
352
Round Trip Purpose Description
Optional
String (AN)
Min 1Max 80
CR1-10
352
Stretcher Purpose Description
Optional
String (AN)
Min 1Max 80
CR3
4350
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > CR3

Durable Medical Equipment Certification

OptionalMax use 1
Usage notes
Example
CR3-01
1322
Certification Type Code
Required
Identifier (ID)
I
Initial
R
Renewal
S
Revised
CR3-02
355
Unit or Basis for Measurement Code
Required
Identifier (ID)
MO
Months
CR3-03
380
Durable Medical Equipment Duration
Required
Decimal number (R)
Min 1Max 15
Usage notes
CRC
4500
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > CRC

Ambulance Certification

OptionalMax use 3
Usage notes
Example
CRC-01
1136
Code Category
Required
Identifier (ID)
07
Ambulance Certification
CRC-02
1073
Certification Condition Indicator
Required
Identifier (ID)
N
No
Y
Yes
CRC-03
1321
Condition Code
Required
Identifier (ID)
Usage notes
01
Patient was admitted to a hospital
04
Patient was moved by stretcher
05
Patient was unconscious or in shock
06
Patient was transported in an emergency situation
07
Patient had to be physically restrained
08
Patient had visible hemorrhaging
09
Ambulance service was medically necessary
12
Patient is confined to a bed or chair
CRC-04
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC-05
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC-06
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC-07
1321
Condition Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
CRC
4500
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > CRC

Hospice Employee Indicator

OptionalMax use 1
Usage notes
Example
CRC-01
1136
Code Category
Required
Identifier (ID)
70
Hospice
CRC-02
1073
Hospice Employed Provider Indicator
Required
Identifier (ID)
Usage notes
N
No
Y
Yes
CRC-03
1321
Condition Indicator
Required
Identifier (ID)
65
Open
CRC
4500
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > CRC

Condition Indicator/Durable Medical Equipment

OptionalMax use 1
Usage notes
Example
CRC-01
1136
Code Category
Required
Identifier (ID)
09
Durable Medical Equipment Certification
CRC-02
1073
Certification Condition Indicator
Required
Identifier (ID)
N
No
Y
Yes
CRC-03
1321
Condition Indicator
Required
Identifier (ID)
38
Certification signed by the physician is on file at the supplier's office
ZV
Replacement Item
CRC-04
1321
Condition Indicator
Optional
Identifier (ID)
Min 2Max 3
Usage notes
DTP
4550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > DTP

Date - Initial Treatment Date

OptionalMax use 1
Usage notes
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
454
Initial Treatment
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Initial Treatment Date
Required
String (AN)
Min 1Max 35
DTP
4550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > DTP

Date - Service Date

RequiredMax use 1
Usage notes
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
472
Service
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
Usage notes
D8
Date Expressed in Format CCYYMMDD
RD8
Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD
DTP-03
1251
Service Date
Required
String (AN)
Min 1Max 35
DTP
4550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > DTP

Date - Prescription Date

OptionalMax use 1
Usage notes
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
471
Prescription
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Prescription Date
Required
String (AN)
Min 1Max 35
DTP
4550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > DTP

Date - Certification Revision/Recertification Date

OptionalMax use 1
Usage notes
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
607
Certification Revision
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Certification Revision or Recertification Date
Required
String (AN)
Min 1Max 35
DTP
4550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > DTP

Date - Begin Therapy Date

OptionalMax use 1
Usage notes
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
463
Begin Therapy
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Begin Therapy Date
Required
String (AN)
Min 1Max 35
DTP
4550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > DTP

Date - Last Certification Date

OptionalMax use 1
Usage notes
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
461
Last Certification
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Last Certification Date
Required
String (AN)
Min 1Max 35
DTP
4550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > DTP

Date - Last Seen Date

OptionalMax use 1
Usage notes
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
304
Latest Visit or Consultation
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Treatment or Therapy Date
Required
String (AN)
Min 1Max 35
DTP
4550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > DTP

Date - Last X-ray Date

OptionalMax use 1
Usage notes
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
455
Last X-Ray
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Last X-Ray Date
Required
String (AN)
Min 1Max 35
DTP
4550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > DTP

Date - Shipped Date

OptionalMax use 1
Usage notes
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
011
Shipped
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Shipped Date
Required
String (AN)
Min 1Max 35
DTP
4550
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > DTP

Date - Test Date

OptionalMax use 2
Usage notes
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
738
Most Recent Hemoglobin or Hematocrit or Both
739
Most Recent Serum Creatine
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Test Performed Date
Required
String (AN)
Min 1Max 35
QTY
4600
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > QTY

Ambulance Patient Count

OptionalMax use 1
Usage notes
Example
QTY-01
673
Quantity Qualifier
Required
Identifier (ID)
PT
Patients
QTY-02
380
Ambulance Patient Count
Required
Decimal number (R)
Min 1Max 15
QTY
4600
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > QTY

Obstetric Anesthesia Additional Units

OptionalMax use 1
Usage notes
Example
Variants (all may be used)
QTYAmbulance Patient Count
QTY-01
673
Quantity Qualifier
Required
Identifier (ID)
FL
Units
QTY-02
380
Obstetric Additional Units
Required
Decimal number (R)
Min 1Max 15
Usage notes
MEA
4620
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > MEA

Test Result

OptionalMax use 5
Usage notes
Example
MEA-01
737
Measurement Reference Identification Code
Required
Identifier (ID)
OG
Original
TR
Test Results
MEA-02
738
Measurement Qualifier
Required
Identifier (ID)
HT
Height
R1
Hemoglobin
R2
Hematocrit
R3
Epoetin Starting Dosage
R4
Creatinine
MEA-03
739
Test Results
Required
Decimal number (R)
Min 1Max 15
CN1
4650
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > CN1

Contract Information

OptionalMax use 1
Usage notes
Example
CN1-01
1166
Contract Type Code
Required
Identifier (ID)
01
Diagnosis Related Group (DRG)
02
Per Diem
03
Variable Per Diem
04
Flat
05
Capitated
06
Percent
09
Other
CN1-02
782
Contract Amount
Optional
Decimal number (R)
Min 1Max 15
CN1-03
332
Contract Percentage
Optional
Decimal number (R)
Min 1Max 6
CN1-04
127
Contract Code
Optional
String (AN)
Min 1Max 50
CN1-05
338
Terms Discount Percentage
Optional
Decimal number (R)
Min 1Max 6
CN1-06
799
Contract Version Identifier
Optional
String (AN)
Min 1Max 30
REF
4700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > REF

Clinical Laboratory Improvement Amendment (CLIA) Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
X4
Clinical Laboratory Improvement Amendment Number
REF-02
127
Clinical Laboratory Improvement Amendment Number
Required
String (AN)
Min 1Max 50
REF
4700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > REF

Immunization Batch Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
BT
Batch Number
REF-02
127
Immunization Batch Number
Required
String (AN)
Min 1Max 50
REF
4700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > REF

Line Item Control Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
6R
Provider Control Number
REF-02
127
Line Item Control Number
Required
String (AN)
Min 1Max 50
Usage notes
REF
4700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > REF

Mammography Certification Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
EW
Mammography Certification Number
REF-02
127
Mammography Certification Number
Required
String (AN)
Min 1Max 50
REF
4700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > REF

Referral Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
9F
Referral Number
REF-02
127
Referral Number
Required
String (AN)
Min 1Max 50
REF
4700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > REF

Referring Clinical Laboratory Improvement Amendment (CLIA) Facility Identification

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
F4
Facility Certification Number
REF-02
127
Referring CLIA Number
Required
String (AN)
Min 1Max 50
REF
4700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > REF

Repriced Line Item Reference Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
9B
Repriced Line Item Reference Number
REF-02
127
Repriced Line Item Reference Number
Required
String (AN)
Min 1Max 50
REF
4700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > REF

Adjusted Repriced Line Item Reference Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
9D
Adjusted Repriced Line Item Reference Number
REF-02
127
Adjusted Repriced Line Item Reference Number
Required
String (AN)
Min 1Max 50
REF
4700
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > REF

Prior Authorization

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
G1
Prior Authorization Number
REF-02
127
Prior Authorization or Referral Number
Required
String (AN)
Min 1Max 50
AMT
4750
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > AMT

Sales Tax Amount

OptionalMax use 1
Usage notes
Example
Variants (all may be used)
AMTPostage Claimed Amount
AMT-01
522
Amount Qualifier Code
Required
Identifier (ID)
T
Tax
AMT-02
782
Sales Tax Amount
Required
Decimal number (R)
Min 1Max 15
AMT
4750
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > AMT

Postage Claimed Amount

OptionalMax use 1
Usage notes
Example
Variants (all may be used)
AMTSales Tax Amount
AMT-01
522
Amount Qualifier Code
Required
Identifier (ID)
F4
Postage Claimed
AMT-02
782
Postage Claimed Amount
Required
Decimal number (R)
Min 1Max 15
K3
4800
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > K3

File Information

OptionalMax use 10
Usage notes
Example
K3-01
449
Fixed Format Information
Required
String (AN)
Min 1Max 80
NTE
4850
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > NTE

Line Note

OptionalMax use 1
Usage notes
Example
Variants (all may be used)
NTEThird Party Organization Notes
NTE-01
363
Note Reference Code
Required
Identifier (ID)
ADD
Additional Information
DCP
Goals, Rehabilitation Potential, or Discharge Plans
NTE-02
352
Line Note Text
Required
String (AN)
Min 1Max 80
NTE
4850
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > NTE

Third Party Organization Notes

OptionalMax use 1
Usage notes
Example
Variants (all may be used)
NTELine Note
NTE-01
363
Note Reference Code
Required
Identifier (ID)
TPO
Third Party Organization Notes
NTE-02
352
Line Note Text
Required
String (AN)
Min 1Max 80
PS1
4880
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > PS1

Purchased Service Information

OptionalMax use 1
Usage notes
Example
PS1-01
127
Purchased Service Provider Identifier
Required
String (AN)
Min 1Max 50
Usage notes
PS1-02
782
Purchased Service Charge Amount
Required
Decimal number (R)
Min 1Max 15
HCP
4920
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > HCP

Line Pricing/Repricing Information

OptionalMax use 1
Usage notes
Example
If either Product or Service ID Qualifier (HCP-09) or Repriced Approved HCPCS Code (HCP-10) is present, then the other is required
If either Unit or Basis for Measurement Code (HCP-11) or Repriced Approved Service Unit Count (HCP-12) is present, then the other is required
HCP-01
1473
Pricing Methodology
Required
Identifier (ID)
Usage notes
00
Zero Pricing (Not Covered Under Contract)
01
Priced as Billed at 100%
02
Priced at the Standard Fee Schedule
03
Priced at a Contractual Percentage
04
Bundled Pricing
05
Peer Review Pricing
06
Per Diem Pricing
07
Flat Rate Pricing
08
Combination Pricing
09
Maternity Pricing
10
Other Pricing
11
Lower of Cost
12
Ratio of Cost
13
Cost Reimbursed
14
Adjustment Pricing
HCP-02
782
Repriced Allowed Amount
Required
Decimal number (R)
Min 1Max 15
HCP-03
782
Repriced Saving Amount
Optional
Decimal number (R)
Min 1Max 15
HCP-04
127
Repricing Organization Identifier
Optional
String (AN)
Min 1Max 50
HCP-05
118
Repricing Per Diem or Flat Rate Amount
Optional
Decimal number (R)
Min 1Max 9
HCP-06
127
Repriced Approved Ambulatory Patient Group (APG) Code
Optional
String (AN)
Min 1Max 50
HCP-07
782
Repriced Approved Ambulatory Patient Group (APG) Amount
Optional
Decimal number (R)
Min 1Max 15
HCP-09
235
Product or Service ID Qualifier
Optional
Identifier (ID)
ER
Jurisdiction Specific Procedure and Supply Codes
HC
Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes
IV
Home Infusion EDI Coalition (HIEC) Product/Service Code
WK
Advanced Billing Concepts (ABC) Codes
HCP-10
234
Repriced Approved HCPCS Code
Optional
String (AN)
Min 1Max 48
HCP-11
355
Unit or Basis for Measurement Code
Optional
Identifier (ID)
MJ
Minutes
UN
Unit
HCP-12
380
Repriced Approved Service Unit Count
Optional
Decimal number (R)
Min 1Max 15
Usage notes
HCP-13
901
Reject Reason Code
Optional
Identifier (ID)
T1
Cannot Identify Provider as TPO (Third Party Organization) Participant
T2
Cannot Identify Payer as TPO (Third Party Organization) Participant
T3
Cannot Identify Insured as TPO (Third Party Organization) Participant
T4
Payer Name or Identifier Missing
T5
Certification Information Missing
T6
Claim does not contain enough information for re-pricing
HCP-14
1526
Policy Compliance Code
Optional
Identifier (ID)
1
Procedure Followed (Compliance)
2
Not Followed - Call Not Made (Non-Compliance Call Not Made)
3
Not Medically Necessary (Non-Compliance Non-Medically Necessary)
4
Not Followed Other (Non-Compliance Other)
5
Emergency Admit to Non-Network Hospital
HCP-15
1527
Exception Code
Optional
Identifier (ID)
1
Non-Network Professional Provider in Network Hospital
2
Emergency Care
3
Services or Specialist not in Network
4
Out-of-Service Area
5
State Mandates
6
Other
2410 Drug Identification Loop
OptionalMax 1
LIN
4930
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Drug Identification Loop > LIN

Drug Identification

RequiredMax use 1
Usage notes
Example
LIN-02
235
Product or Service ID Qualifier
Required
Identifier (ID)
Usage notes
EN
EAN/UCC - 13
EO
EAN/UCC - 8
HI
HIBC (Health Care Industry Bar Code) Supplier Labeling Standard Primary Data Message
N4
National Drug Code in 5-4-2 Format
ON
Customer Order Number
UK
GTIN 14-digit Data Structure
UP
UCC - 12
LIN-03
234
National Drug Code, Universal Product Number or Device Identifier of the Unique Device Identifier
Required
String (AN)
Min 1Max 48
CTP
4940
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Drug Identification Loop > CTP

Drug Quantity

RequiredMax use 1
Usage notes
Example
CTP-04
380
National Drug Unit Count
Required
Decimal number (R)
Min 1Max 15
CTP-05
C001
Composite Unit of Measure
RequiredMax use 1
To identify a composite unit of measure (See Figures Appendix for examples of use)
C001-01
355
Code Qualifier
Required
Identifier (ID)
F2
International Unit
GR
Gram
ME
Milligram
ML
Milliliter
UN
Unit
REF
4950
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Drug Identification Loop > REF

Prescription or Compound Drug Association Number

OptionalMax use 1
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
VY
Link Sequence Number
XZ
Pharmacy Prescription Number
REF-02
127
Prescription Number
Required
String (AN)
Min 1Max 50
2410 Drug Identification Loop end
NM1
5000
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Rendering Provider Name Loop > NM1

Rendering Provider Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Rendering Provider Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
82
Rendering Provider
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
2
Non-Person Entity
NM1-03
1035
Rendering Provider Last or Organization Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Rendering Provider First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Rendering Provider Middle Name or Initial
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Rendering Provider Name Suffix
Optional
String (AN)
Min 1Max 10
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
XX
Centers for Medicare and Medicaid Services National Provider Identifier
NM1-09
67
Rendering Provider Identifier
Optional
String (AN)
Min 2Max 80
Usage notes
PRV
5050
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Rendering Provider Name Loop > PRV

Rendering Provider Specialty Information

OptionalMax use 1
Usage notes
Example
PRV-01
1221
Provider Code
Required
Identifier (ID)
PE
Performing
PRV-02
128
Reference Identification Qualifier
Required
Identifier (ID)
PXC
Health Care Provider Taxonomy Code
PRV-03
127
Provider Taxonomy Code
Required
String (AN)
Min 1Max 50
REF
5250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Rendering Provider Name Loop > REF

Rendering Provider Secondary Identification

OptionalMax use 3
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
0B
State License Number
G2
Provider Commercial Number
LU
Location Number
REF-02
127
Rendering Provider Secondary Identifier
Required
String (AN)
Min 1Max 50
2420A Rendering Provider Name Loop end
NM1
5000
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Purchased Service Provider Name Loop > NM1

Purchased Service Provider Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Purchased Service Provider Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
Usage notes
QB
Purchase Service Provider
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
2
Non-Person Entity
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
Usage notes
XX
Centers for Medicare and Medicaid Services National Provider Identifier
NM1-09
67
Purchased Service Provider Identifier
Optional
String (AN)
Min 2Max 80
Usage notes
REF
5250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Purchased Service Provider Name Loop > REF

Purchased Service Provider Secondary Identification

OptionalMax use 2
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
0B
State License Number
G2
Provider Commercial Number
REF-02
127
Purchased Service Provider Secondary Identifier
Required
String (AN)
Min 1Max 50
2420B Purchased Service Provider Name Loop end
NM1
5000
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Service Facility Location Name Loop > NM1

Service Facility Location Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Laboratory or Facility Primary Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
77
Service Location
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
2
Non-Person Entity
NM1-03
1035
Laboratory or Facility Name
Required
String (AN)
Min 1Max 60
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
XX
Centers for Medicare and Medicaid Services National Provider Identifier
NM1-09
67
Laboratory or Facility Primary Identifier
Optional
String (AN)
Min 2Max 80
N3
5140
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Service Facility Location Name Loop > N3

Service Facility Location Address

RequiredMax use 1
Usage notes
Example
N3-01
166
Laboratory or Facility Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Laboratory or Facility Address Line
Optional
String (AN)
Min 1Max 55
N4
5200
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Service Facility Location Name Loop > N4

Service Facility Location City, State, ZIP Code

RequiredMax use 1
Example
Only one of Laboratory or Facility State or Province Code (N4-02) or Country Subdivision Code (N4-07) may be present
If Country Subdivision Code (N4-07) is present, then Country Code (N4-04) is required
N4-01
19
Laboratory or Facility City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Laboratory or Facility State or Province Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Laboratory or Facility Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
Usage notes
N4-04
26
Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
REF
5250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Service Facility Location Name Loop > REF

Service Facility Location Secondary Identification

OptionalMax use 3
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
G2
Provider Commercial Number
REF-02
127
Service Facility Location Secondary Identifier
Required
String (AN)
Min 1Max 50
2420C Service Facility Location Name Loop end
NM1
5000
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Supervising Provider Name Loop > NM1

Supervising Provider Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Supervising Provider Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
DQ
Supervising Physician
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
NM1-03
1035
Supervising Provider Last Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Supervising Provider First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Supervising Provider Middle Name or Initial
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Supervising Provider Name Suffix
Optional
String (AN)
Min 1Max 10
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
XX
Centers for Medicare and Medicaid Services National Provider Identifier
NM1-09
67
Supervising Provider Identifier
Optional
String (AN)
Min 2Max 80
Usage notes
REF
5250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Supervising Provider Name Loop > REF

Supervising Provider Secondary Identification

OptionalMax use 3
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
0B
State License Number
G2
Provider Commercial Number
LU
Location Number
REF-02
127
Supervising Provider Secondary Identifier
Required
String (AN)
Min 1Max 50
2420D Supervising Provider Name Loop end
NM1
5000
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Ordering Provider Name Loop > NM1

Ordering Provider Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Ordering Provider Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
Usage notes
DK
Ordering Physician
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
NM1-03
1035
Ordering Provider Last Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Ordering Provider First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Ordering Provider Middle Name or Initial
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Ordering Provider Name Suffix
Optional
String (AN)
Min 1Max 10
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
XX
Centers for Medicare and Medicaid Services National Provider Identifier
NM1-09
67
Ordering Provider Identifier
Optional
String (AN)
Min 2Max 80
Usage notes
N3
5140
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Ordering Provider Name Loop > N3

Ordering Provider Address

OptionalMax use 1
Usage notes
Example
N3-01
166
Ordering Provider Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Ordering Provider Address Line
Optional
String (AN)
Min 1Max 55
N4
5200
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Ordering Provider Name Loop > N4

Ordering Provider City, State, ZIP Code

OptionalMax use 1
Usage notes
Example
Only one of Ordering Provider State or Province Code (N4-02) or Country Subdivision Code (N4-07) may be present
If Country Subdivision Code (N4-07) is present, then Country Code (N4-04) is required
N4-01
19
Ordering Provider City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Ordering Provider State or Province Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Ordering Provider Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
N4-04
26
Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
REF
5250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Ordering Provider Name Loop > REF

Ordering Provider Secondary Identification

OptionalMax use 2
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
0B
State License Number
G2
Provider Commercial Number
REF-02
127
Ordering Provider Secondary Identifier
Required
String (AN)
Min 1Max 50
PER
5300
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Ordering Provider Name Loop > PER

Ordering Provider Contact Information

OptionalMax use 1
Usage notes
Example
If either Communication Number Qualifier (PER-05) or Communication Number (PER-06) is present, then the other is required
If either Communication Number Qualifier (PER-07) or Communication Number (PER-08) is present, then the other is required
PER-01
366
Contact Function Code
Required
Identifier (ID)
IC
Information Contact
PER-02
93
Ordering Provider Contact Name
Optional
String (AN)
Min 1Max 60
PER-03
365
Communication Number Qualifier
Required
Identifier (ID)
EM
Electronic Mail
FX
Facsimile
TE
Telephone
PER-04
364
Communication Number
Required
String (AN)
Min 1Max 256
PER-05
365
Communication Number Qualifier
Optional
Identifier (ID)
EM
Electronic Mail
EX
Telephone Extension
FX
Facsimile
TE
Telephone
PER-06
364
Communication Number
Optional
String (AN)
Min 1Max 256
PER-07
365
Communication Number Qualifier
Optional
Identifier (ID)
EM
Electronic Mail
EX
Telephone Extension
FX
Facsimile
TE
Telephone
PER-08
364
Communication Number
Optional
String (AN)
Min 1Max 256
2420E Ordering Provider Name Loop end
NM1
5000
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Referring Provider Name Loop > NM1

Referring Provider Name

RequiredMax use 1
Usage notes
Example
If either Identification Code Qualifier (NM1-08) or Referring Provider Identifier (NM1-09) is present, then the other is required
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
DN
Referring Provider
P3
Primary Care Provider
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
1
Person
NM1-03
1035
Referring Provider Last Name
Required
String (AN)
Min 1Max 60
NM1-04
1036
Referring Provider First Name
Optional
String (AN)
Min 1Max 35
NM1-05
1037
Referring Provider Middle Name or Initial
Optional
String (AN)
Min 1Max 25
NM1-07
1039
Referring Provider Name Suffix
Optional
String (AN)
Min 1Max 10
NM1-08
66
Identification Code Qualifier
Optional
Identifier (ID)
XX
Centers for Medicare and Medicaid Services National Provider Identifier
NM1-09
67
Referring Provider Identifier
Optional
String (AN)
Min 2Max 80
Usage notes
REF
5250
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Referring Provider Name Loop > REF

Referring Provider Secondary Identification

OptionalMax use 2
Usage notes
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
0B
State License Number
G2
Provider Commercial Number
REF-02
127
Referring Provider Secondary Identifier
Required
String (AN)
Min 1Max 50
2420F Referring Provider Name Loop end
NM1
5000
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Ambulance Pick-up Location Loop > NM1

Ambulance Pick-up Location

RequiredMax use 1
Usage notes
Example
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
PW
Pickup Address
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
2
Non-Person Entity
N3
5140
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Ambulance Pick-up Location Loop > N3

Ambulance Pick-up Location Address

RequiredMax use 1
Example
N3-01
166
Ambulance Pick-up Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Ambulance Pick-up Address Line
Optional
String (AN)
Min 1Max 55
N4
5200
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Ambulance Pick-up Location Loop > N4

Ambulance Pick-up Location City, State, ZIP Code

RequiredMax use 1
Example
Only one of Ambulance Pick-up State or Province Code (N4-02) or Ambulance Pick-up Country Subdivision Code (N4-07) may be present
If Ambulance Pick-up Country Subdivision Code (N4-07) is present, then Ambulance Pick-up Country Code (N4-04) is required
N4-01
19
Ambulance Pick-up City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Ambulance Pick-up State or Province Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Ambulance Pick-up Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
N4-04
26
Ambulance Pick-up Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Ambulance Pick-up Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
2420G Ambulance Pick-up Location Loop end
NM1
5000
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Ambulance Drop-Off Location Loop > NM1

Ambulance Drop-Off Location

RequiredMax use 1
Usage notes
Example
NM1-01
98
Entity Identifier Code
Required
Identifier (ID)
45
Drop-off Location
NM1-02
1065
Entity Type Qualifier
Required
Identifier (ID)
2
Non-Person Entity
NM1-03
1035
Ambulance Drop-off Location
Optional
String (AN)
Min 1Max 60
N3
5140
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Ambulance Drop-Off Location Loop > N3

Ambulance Drop-Off Location Address

RequiredMax use 1
Example
N3-01
166
Ambulance Drop-off Address Line
Required
String (AN)
Min 1Max 55
N3-02
166
Ambulance Drop-off Address Line
Optional
String (AN)
Min 1Max 55
N4
5200
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Ambulance Drop-Off Location Loop > N4

Ambulance Drop-Off Location City, State, ZIP Code

RequiredMax use 1
Example
Only one of Ambulance Drop-off State or Province Code (N4-02) or Ambulance Drop-off Country Subdivision Code (N4-07) may be present
If Ambulance Drop-off Country Subdivision Code (N4-07) is present, then Ambulance Drop-off Country Code (N4-04) is required
N4-01
19
Ambulance Drop-off City Name
Required
String (AN)
Min 2Max 30
N4-02
156
Ambulance Drop-off State or Province Code
Optional
Identifier (ID)
Min 2Max 2
N4-03
116
Ambulance Drop-off Postal Zone or ZIP Code
Optional
Identifier (ID)
Min 3Max 15
N4-04
26
Ambulance Drop-off Country Code
Optional
Identifier (ID)
Min 2Max 3
Usage notes
N4-07
1715
Ambulance Drop-off Country Subdivision Code
Optional
Identifier (ID)
Min 1Max 3
Usage notes
2420H Ambulance Drop-Off Location Loop end
2430 Line Adjudication Information Loop
OptionalMax 15
SVD
5400
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Line Adjudication Information Loop > SVD

Line Adjudication Information

RequiredMax use 1
Usage notes
Example
SVD-01
67
Other Payer Primary Identifier
Required
String (AN)
Min 2Max 80
Usage notes
SVD-02
782
Service Line Paid Amount
Required
Decimal number (R)
Min 1Max 15
Usage notes
SVD-03
C003
Composite Medical Procedure Identifier
RequiredMax use 1
To identify a medical procedure by its standardized codes and applicable modifiers - SVD03 represents the medical procedure code upon which adjudication of this service line was based. This may be different than the submitted medical procedure code.
C003-01
235
Product or Service ID Qualifier
Required
Identifier (ID)
ER
Jurisdiction Specific Procedure and Supply Codes
HC
Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes
WK
Advanced Billing Concepts (ABC) Codes
C003-02
234
Procedure Code
Required
String (AN)
Min 1Max 48
C003-03
1339
Procedure Modifier
Optional
String (AN)
Min 2Max 2
C003-04
1339
Procedure Modifier
Optional
String (AN)
Min 2Max 2
C003-05
1339
Procedure Modifier
Optional
String (AN)
Min 2Max 2
C003-06
1339
Procedure Modifier
Optional
String (AN)
Min 2Max 2
SVD-05
380
Paid Service Unit Count
Required
Decimal number (R)
Min 1Max 15
Usage notes
SVD-06
554
Bundled or Unbundled Line Number
Optional
Numeric (N0)
Min 1Max 6
CAS
5450
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Line Adjudication Information Loop > CAS

Line Adjustment

OptionalMax use 5
Usage notes
Example
If Adjustment Reason Code (CAS-05) is present, then at least one of Adjustment Amount (CAS-06) or Adjustment Quantity (CAS-07) is required
If Adjustment Amount (CAS-06) is present, then Adjustment Reason Code (CAS-05) is required
If Adjustment Quantity (CAS-07) is present, then Adjustment Reason Code (CAS-05) is required
If Adjustment Reason Code (CAS-08) is present, then at least one of Adjustment Amount (CAS-09) or Adjustment Quantity (CAS-10) is required
If Adjustment Amount (CAS-09) is present, then Adjustment Reason Code (CAS-08) is required
If Adjustment Quantity (CAS-10) is present, then Adjustment Reason Code (CAS-08) is required
If Adjustment Reason Code (CAS-11) is present, then at least one of Adjustment Amount (CAS-12) or Adjustment Quantity (CAS-13) is required
If Adjustment Amount (CAS-12) is present, then Adjustment Reason Code (CAS-11) is required
If Adjustment Quantity (CAS-13) is present, then Adjustment Reason Code (CAS-11) is required
If Adjustment Reason Code (CAS-14) is present, then at least one of Adjustment Amount (CAS-15) or Adjustment Quantity (CAS-16) is required
If Adjustment Amount (CAS-15) is present, then Adjustment Reason Code (CAS-14) is required
If Adjustment Quantity (CAS-16) is present, then Adjustment Reason Code (CAS-14) is required
If Adjustment Reason Code (CAS-17) is present, then at least one of Adjustment Amount (CAS-18) or Adjustment Quantity (CAS-19) is required
If Adjustment Amount (CAS-18) is present, then Adjustment Reason Code (CAS-17) is required
If Adjustment Quantity (CAS-19) is present, then Adjustment Reason Code (CAS-17) is required
CAS-01
1033
Claim Adjustment Group Code
Required
Identifier (ID)
CO
Contractual Obligations
OA
Other adjustments
PI
Payor Initiated Reductions
PR
Patient Responsibility
CAS-02
1034
Adjustment Reason Code
Required
Identifier (ID)
Min 1Max 5
CAS-03
782
Adjustment Amount
Required
Decimal number (R)
Min 1Max 15
CAS-04
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
CAS-05
1034
Adjustment Reason Code
Optional
Identifier (ID)
Min 1Max 5
Usage notes
CAS-06
782
Adjustment Amount
Optional
Decimal number (R)
Min 1Max 15
CAS-07
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
CAS-08
1034
Adjustment Reason Code
Optional
Identifier (ID)
Min 1Max 5
Usage notes
CAS-09
782
Adjustment Amount
Optional
Decimal number (R)
Min 1Max 15
CAS-10
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
CAS-11
1034
Adjustment Reason Code
Optional
Identifier (ID)
Min 1Max 5
Usage notes
CAS-12
782
Adjustment Amount
Optional
Decimal number (R)
Min 1Max 15
CAS-13
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
CAS-14
1034
Adjustment Reason Code
Optional
Identifier (ID)
Min 1Max 5
Usage notes
CAS-15
782
Adjustment Amount
Optional
Decimal number (R)
Min 1Max 15
CAS-16
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
CAS-17
1034
Adjustment Reason Code
Optional
Identifier (ID)
Min 1Max 5
Usage notes
CAS-18
782
Adjustment Amount
Optional
Decimal number (R)
Min 1Max 15
CAS-19
380
Adjustment Quantity
Optional
Decimal number (R)
Min 1Max 15
DTP
5500
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Line Adjudication Information Loop > DTP

Line Check or Remittance Date

RequiredMax use 1
Example
DTP-01
374
Date Time Qualifier
Required
Identifier (ID)
573
Date Claim Paid
DTP-02
1250
Date Time Period Format Qualifier
Required
Identifier (ID)
D8
Date Expressed in Format CCYYMMDD
DTP-03
1251
Adjudication or Payment Date
Required
String (AN)
Min 1Max 35
AMT
5505
Detail > Billing Provider Hierarchical Level Loop > Subscriber Hierarchical Level Loop > Patient Hierarchical Level Loop > Claim Information Loop > Service Line Number Loop > Line Adjudication Information Loop > AMT

Remaining Patient Liability

OptionalMax use 1
Usage notes
Example
AMT-01
522
Amount Qualifier Code
Required
Identifier (ID)
EAF
Amount Owed
AMT-02
782
Remaining Patient Liability
Required
Decimal number (R)
Min 1Max 15
2430 Line Adjudication Information Loop end
2400 Service Line Number Loop end
2300 Claim Information Loop end
2000C Patient Hierarchical Level Loop end
2000B Subscriber Hierarchical Level Loop end
2000A Billing Provider Hierarchical Level Loop end
SE
5550
Detail > SE

Transaction Set Trailer

RequiredMax use 1
Example
SE-01
96
Transaction Segment Count
Required
Numeric (N0)
Min 1Max 10
SE-02
329
Transaction Set Control Number
Required
Numeric (N)
Min 4Max 9
Usage notes
Detail end
GE

Functional Group Trailer

RequiredMax use 1
Example
GE-01
97
Number of Transaction Sets Included
Required
Numeric (N0)
Min 1Max 6
GE-02
28
Group Control Number
Required
Numeric (N0)
Min 1Max 9
IEA

Interchange Control Trailer

RequiredMax use 1
Example
IEA-01
I16
Number of Included Functional Groups
Required
Numeric (N0)
Min 1Max 5
IEA-02
I12
Interchange Control Number
Required
Numeric (N0)
Min 9Max 9
EDI Samples

Adjudicated Claim submitted to All Payer Claim Data Base (APCD)

ST*837*0021*005010X298A1~
BHT*0019*00*244579*20120315*1023*RP~
NM1*41*2*ABC PLAN*****46*TGJ23~
PER*IC*IT GROUP*TE*3055552222*EX*231~
NM1*40*2*REPORTING ENTITY*****46*66783JJT~
HL*1**20*1~
PRV*BI*PXC*207Q00000X~
NM1*85*2*PHYSICIAN CLINIC*****XX*9876543210~
N3*234 SEAWAY ST~
N4*MIAMI*FL*33111~
REF*EI*587654321~
HL*2*1*22*1~
SBR*N~
NM1*IL*1*SMITH*JANE****MI*JS00111223333~
N3*236 N MAIN ST~
N4*MIAMI*FL*33413~
DMG*D8*19430501*F~
NM1*ZD*2*DATA RECEIVER~
HL*3*2*23*0~
PAT*19~
NM1*QC*1*SMITH*TED****MI*JS00111224444~
N3*236 N MAIN ST~
N4*MIAMI*FL*33413~
DMG*D8*19730501*M~
CLM*26463774*100***11>B>1~
REF*F8*20121092600001~
HI*ABK>M25375*ABF>M19072~
NM1*82*1*JONES*BARNABY****XX*1234567890~
NM1*77*2*PHYSICIAN CLINIC*****XX*9876543210~
N3*234 SEAWAY ST~
N4*MIAMI*FL*33111~
SBR*P*19*2222-SJ***6***CI~
AMT*D*75~
NM1*IL*1*SMITH*JANE****MI*JS00111223333~
N3*236 N MAIN ST~
N4*MIAMI*FL*33413~
NM1*PR*2*ABC PLAN*****PI*59999~
DTP*573*D8*20120314~
REF*F8*20121092600001~
NM1*QC*1*SMITH*TED****MI*JS00111224444~
N3*236 N MAIN ST~
N4*MIAMI*FL*33413~
LX*1~
SV1*HC>99213*100*UN*1*11**1**Y**Y*Y~
DTP*472*D8*20120204~
SVD*59999*75*HC>99213**1~
CAS*CO*45*25~
DTP*573*D8*20120314~
SE*49*0021~

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