|
| The Line Additional Item Type category ID for the claim. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Claim Line Institutional Revenue Center Date |
| Claim Revenue APC HIPPS Code |
| Claim IDR Load Date |
| Claim Disposition Code |
| Rendering Provider Type Code |
| Rendering Provider FIPS State Code |
| Claim Contractor Number |
| PBP Benefit Enhancement Indicator |
| Post Discharge Home Visit Benefit Enhancement Indicator |
| SNF 3-Day Waiver Benefit Enhancement Indicator |
| Telehealth Benefit Enhancement Indicator |
| AIPBP Benefit Enhancement Indicator |
| Demonstration Number 1 |
| Demonstration Number 2 |
| Demonstration Number 3 |
| Demonstration Number 4 |
| Demonstration Number 5 |
| Line PBP AIPBP Inclusion Amount |
| Line PBP AIPBP Reduction Amount |
| Care Management Home Visits Benefit Enhancement Indicator |
| Claim Medicare Deductible Amount billed to Medicaid |
| Line Sequestration Reduction Amount |
| Claim Line Carrier Health Professional Shortage Area Scarcity Code |