|
Name |
Type |
Discontinued? |
|
1 |
CLAIM_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the claim info record. |
|
|
2 |
GROUP_LINE |
INTEGER |
No |
|
|
|
The line number for the information associated with this record. |
|
|
3 |
VALUE_LINE |
INTEGER |
No |
|
|
|
The line number of one of the multiple values associated with a specific group of data within this record. |
|
|
4 |
PMT_SEP_OUT_ESRD |
VARCHAR |
No |
|
|
|
Identifies amount of service that is paid outside of the bundled End Stage Renal Disease Prospective Payment System. Data received in POB3.ESRD block on incoming message. |
|
|