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Back  RFI # 1003: Lopp2300:CLM05

Formal vs. Informal Help Informal Formal

Submitter

Deepti Dabral

Description

Loop 2300: CLM segment: CLM05 - 3 (Claim Frequency Type Code):For this 4010A codes were 1,6,7,8 but in 5010 implementation guide there are no codes mentioned. We are not sure what codes we need to use here. Can you please provide us the list?

Response

This issue is addressed in guide 005010X222. CLM05-3 includes "CODE SOURCE 235: Claim Frequency Type Code". As such, this is an external code source and the applicable code list must be obtained from the owner, and may change over time. Code Source 235 is identified in appendix A as the National Uniform Billing Data Element Specifications Type of Bill Position 3. See the NUBC for the current code list and rules for use of those codes.
Submission 3/25/2010
Status Date 4/15/2010
Status F - Final
Primary References
Document 005010X222
Section2.4
Page169
Set ID837