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CLP Claim Level Data

Claim Level Data (CLP) defines 13 elements and 6 semantic notes. Sign up free or login to view the full segment and download it in Markdown or console (text) formats.

Elements

1028 CLP-01

Claim Submitter's Identifier

Alphanumeric (AN) R Required 1/38

1029 CLP-02

Claim Status Code

Identifier (ID) R Required 1/2

782 CLP-03

Monetary Amount

Decimal (R) R Required 1/18

782 CLP-04

Monetary Amount

Decimal (R) R Required 1/18

782 CLP-05

Monetary Amount

Decimal (R) O Optional 1/18

1032 CLP-06

Claim Filing Indicator Code

Identifier (ID) O Optional 1/2

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See every element, syntax rule, and semantic note for Claim Level Data. Download it in console (text) or Markdown format, or use the tedi CLI to access the full X12 reference from your terminal.

Used by transaction sets

835 Health Care Claim Payment/Advice