|
Name |
Type |
Discontinued? |
|
1 |
CLAIM_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the claim record. |
|
|
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 |
OTH_PAY_INFO_TY_C_NAME |
VARCHAR |
No |
|
|
|
This is the type of information of other payors. |
May contain organization-specific values: No |
Category Entries: |
Primary Payor Claim Check or Remittance Date |
|
|
4 |
OTH_PAY_INFO_VAL |
VARCHAR |
No |
|
|
|
This is the value of the information of type mentioned in the corresponding line of Claim Information item 1120 (CLM 1120). |
|
|