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Data Element
CIP109
CIP.002.109
No Updates
Definition | Remittance Advice Remark Codes are used to convey information about remittance processing or to provide a supplemental explanation for an adjustment already described by a Claim Adjustment Reason Code. Each Remittance Advice Remark Code identifies a specific message as shown in the Remittance Advice Remark Code List. It is a code set used by the health care industry to convey non-financial information critical to understanding the adjudication of a health care claim for payment. It is an external code set whose use is as mandated by the Administrative Simplification provisions of the Health Insurance Portability and Accountably Act of 1996 (P.L.104-191, commonly referred to as HIPAA). |
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Size | X(5) |
FLF Start Position | 492 |
FLF Stop Position | 496 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be in Claim Payment Remittance Code List (VVL) 2. Value must be 5 characters or less 3. Conditional 4. When more than one occurrence of Claim Payment Remark Code 1 through Claim Payment Remark Code 4 is populated on a claim, all values must be unique 5. Value must not be populated when Remittance Advice Remark Code 1 (CIP.002.108) is not populated |
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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CLT060 | CLT.002.060 | CLAIM-PYMT-REM-CODE-2 | CLT00002 | CLAIM-HEADER-RECORD-LT |
COT045 | COT.002.045 | CLAIM-PYMT-REM-CODE-2 | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX036 | CRX.002.036 | CLAIM-PYMT-REM-CODE-2 | CRX00002 | CLAIM-HEADER-RECORD-RX |