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.