ABME8CLM ; IHS/ASDST/DMJ - 837 CLM Segment
Source file <ABME8CLM.m>
Package | Total | Caller Graph |
---|---|---|
Third Party Billing | 3 | ABME8L13 ABME8L4 ABME8L5 |
Name | Comments | DBIA/ICR reference |
---|---|---|
150 | ;CLM14 - Level of Service Code-not used
|
|
210 | ;CLM20 - Delay Reason Code
|
|
190 | ;CLM18 - Explanation of Benefits Indicator
|
|
60 | ;CLM05 - Health Care Service Location Information
|
|
130 | ;CLM12 - Special Programs Code
|
|
110 | ;CLM10 - Patient Signature Source-not used
|
|
80 | ;CLM07 - Provider Accept Assignment Code
|
|
170 | ;CLM16 - Provider Agreement Code-not used
|
|
20 | ;CLM01 - Claim Submitter's Identifier
|
|
40 | ;CLM03 - Claim Filing Indicator Code-not used
|
|
180 | ;CLM17 - Claim Status Code-not used
|
|
200 | ;CLM19 - Claim Submission Reason Code-not used
|
|
140 | ;CLM13 - Yes/No-not used
|
|
120 | ;CLM11 - Related Causes Information
|
|
START | ;EP - START HERE
|
|
70 | ;CLM06 - Provider Signature on File
|
|
90 | ;CLM08 - Assignment of Benefits Indicator
|
|
100 | ;CLM09 - Release of Information Code
|
|
160 | ;CLM15 - Yes/No-not used
|
|
10 | ;segment
|
|
30 | ;CLM02 - Monetary Amount
|
|
50 | ;CLM04 - Non-Institutional Claim Type Code-not used
|
|
LOOP | ;LOOP HERE
|
Name | Field # of Occurrence |
---|---|
$$POS^ABMERUTL | 60+6 |
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^ABMDBILL( | 130+2, 210+2 |
^ABMDCODE - [#9002274.03] | 130+4, 210+3 |
^ABMEXLM("AA" | LOOP+3 |
^AUTTLOC - [#9999999.06] | 120+7 |
^DIC(5 - [#5] | 120+8 |
Name | Line Occurrences |
---|---|
@( | LOOP+2, LOOP+3 |
LOOP | START+3 |
Name | Field # of Occurrence |
---|---|
^( | LOOP+3 |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
ABM | START+4! |
>> ABMB2 | 30+1, 30+2 |
>> ABMB7 | 90+1, 100+1 |
>> ABMB8 | 120+3 |
>> ABMDRC | 210+2*, 210+3 |
ABME | START+4! |
ABME("RTYPE" | START+2*, LOOP+3 |
>> ABMP("BDFN" | 130+2, 210+2 |
>> ABMP("BTYP" | 60+2, 60+4 |
>> ABMP("EXP" | LOOP+3, 60+1, 60+5, 110+1, 110+3, 120+1, 130+1, 190+1, 190+3 |
>> ABMP("INS" | LOOP+3 |
>> ABMP("LDFN" | 120+7 |
>> ABMP("PCN" | 20+1 |
>> ABMPSQ | 30+2 |
>> ABMR("CLM" | START+1!, LOOP+5, 10+1*, 20+1*, 30+1*, 30+2*, 30+3*, 40+1*, 50+1*, 60+2* , 60+3*, 60+4*, 60+6*, 60+7*, 70+1*, 80+1*, 90+1*, 100+1*, 100+2*, 110+2* , 110+4*, 110+5*, 110+6, 110+7*, 110+8*, 120+1*, 120+4*, 120+5*, 120+6, 120+9* , 130+1*, 130+2*, 130+3, 130+4*, 140+1*, 150+1*, 160+1*, 170+1*, 180+1*, 190+2* , 190+4*, 200+1*, 210+1*, 210+3* |
>> ABMREC("CLM" | START+1!, LOOP+4*, LOOP+5* |
DUZ(2 | 130+2, 210+2 |
>> I | LOOP+1*, LOOP+2, LOOP+3, LOOP+5 |
U | 30+1, 30+2, 130+4 |
X | 120+2~, 120+3*, 120+4, 120+5, 120+7*, 120+8*, 120+9 |