Claim Level Data

Claim Level Data (CLP) defines 16 elements, 1 syntax rule, and 9 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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