|
| The Additional Data Type category ID for the claim. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Provider Facility FIPS State Code |
| IDR Load Date |
| Claim Query Code |
| Claim Control Number |
| Claim Original Control Number |
| 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 |
| PBP AIPBP Inclusion Amount |
| PBP AIPBP Reduction Amount |
| Care Management Home Visits Benefit Enhancement Indicator |
| Institutional Per Diem Amount |
| Medicare Inpatient Deductible Amount |
| Blood Liability Amount |
| Institutional Professional Amount |
| Noncovered Charge Amount |
| Operating Outlier Amount |
| Medicare New Technology Addon Amount |
| Islet Isolation Addon Amount |
| Sequestration Reduction Amount |
| Capital MIPS Payment Amount |
| Claim Related Condition Code (PIP) |
| Adjustment Reason Code |
| Adjustment Group Code |