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Data Element
CIP100
CIP.002.100
Definition | A code to indicate what type of payment is covered in this claim. For sub-capitated encounters from a sub-capitated entity or sub-capitated network provider, report TYPE-OF-CLAIM = "3" for a Medicaid sub-capitated encounter record or “C†for an S-CHIP sub-capitated encounter record. |
---|---|
Size | X(1) |
FLF Start Position | 451 |
FLF Stop Position | 451 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be in Type of Claim List (VVL) 2. Value must be 1 character 3. Mandatory 4. When value equals "Z", claim denied indicator must equal "0" |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
---|---|---|---|---|
CLT052 | CLT.002.052 | TYPE-OF-CLAIM | CLT00002 | CLAIM-HEADER-RECORD-LT |
COT037 | COT.002.037 | TYPE-OF-CLAIM | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX029 | CRX.002.029 | TYPE-OF-CLAIM | CRX00002 | CLAIM-HEADER-RECORD-RX |