CL_RMT_CLAIM_QTY

Description: |
Contains claim supplemental quantity information from the electronic remittance payment. This information is sent in the QTY segment of an ANSI 835 Health Care Claim Payment/Advice file. This segment is used to send quantity information associated with the claim being paid. These quantities are in defined categories and sent only when the quantity is non-zero. This information is stored in the remittance image record.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
IMAGE_ID | 1 |
LINE | 2 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | IMAGE_ID | VARCHAR | No |
ID for the remittance image record containing the claim supplemental information.
2 | LINE | INTEGER | No |
The line number for the information associated with this record. Multiple pieces of information can be associated with this record.
3 | CLM_QTY_QUAL_C_NAME | VARCHAR | No |
The quantity qualifier code for the claim supplemental quantity information. This is a standard code that indicates what the quantity represents.
May contain organization-specific values: No
Category Entries:
Covered actual
Co-insured - Actual
Life-time reserve - Actual
Life-time reserve - Estimated
Number of non-covered days
Non-covered - Estimated
Not replaced blood units
Outlier days
Prescription
Visits
Federal medicare or medicaid payment mandate category 1
Federal medicare or medicaid payment mandate category 2
Federal medicare or medicaid payment mandate category 3
Federal medicare or medicaid payment mandate category 4
Federal medicare or medicaid payment mandate category 5
4 | CLAIM_SUPPL_QTY | NUMERIC | No |
Quantity for the supplemental claim quantity information. The specific meaning of this quantity is indicated by the associated quantity qualifier code.