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Data Element
CIP019
CIP.002.019
No Updates
Definition | A unique number assigned by the state's payment system that identifies an original or adjustment claim. |
---|---|
Size | X(50) |
FLF Start Position | 22 |
FLF Stop Position | 71 |
Segment Key Field Identifier | 2 |
Coding Requirements | 1. Value must be 50 characters or less 2. Value must not contain a pipe or asterisk symbols 3. Mandatory |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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CIP235 | CIP.003.235 | ICN-ORIG | CIP00003 | CLAIM-LINE-RECORD-IP |
CLT019 | CLT.002.019 | ICN-ORIG | CLT00002 | CLAIM-HEADER-RECORD-LT |
CLT188 | CLT.003.188 | ICN-ORIG | CLT00003 | CLAIM-LINE-RECORD-LT |
COT019 | COT.002.019 | ICN-ORIG | COT00002 | CLAIM-HEADER-RECORD-OT |
COT158 | COT.003.158 | ICN-ORIG | COT00003 | CLAIM-LINE-RECORD-OT |
CRX019 | CRX.002.019 | ICN-ORIG | CRX00002 | CLAIM-HEADER-RECORD-RX |
CRX112 | CRX.003.112 | ICN-ORIG | CRX00003 | CLAIM-LINE-RECORD-RX |