CL_RMT_CLAIM_AMT

Description: |
Contains claim supplemental information from the electronic remittance payment. This information is sent in the AMT segment of an ANSI 835 Health Care Claim Payment/Advice file. This segment is used to send monetary amounts associated with the claim being paid. These amounts are in defined categories and sent only when the amount 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 | CLAIM_AMT_QUAL_C_NAME | VARCHAR | No |
The amount qualifier code for the claim supplemental information. This is a standard code that indicates what the monetary amount represents.
May contain organization-specific values: No
Category Entries:
Coverage amount
Discount amount
Per day limit
Patient amount paid
Interest
Negative ledger balance
Tax
Total claim before taxes
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
Mutually defined
Allowed - Actual
Deduction amount
Net billed
4 | CLAIM_SUPPL_AMT | NUMERIC | No |
Monetary amount for the supplemental claim information. The specific meaning of this amount is indicated by the associated amount qualifier code.