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Data Element
CIP240
CIP.003.240
No Updates
Definition | Claim adjustment reason codes communicate why a service line was paid differently than it was billed. |
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Size | X(3) |
FLF Start Position | 149 |
FLF Stop Position | 151 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be in Line Adjustment Reason Code List (VVL) 2. Value must be 3 characters or less 3. Conditional 4. Value must be populated when the total paid amount is different from the total billed amount |
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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CLT193 | CLT.003.193 | LINE-ADJUSTMENT-REASON-CODE | CLT00003 | CLAIM-LINE-RECORD-LT |
COT163 | COT.003.163 | LINE-ADJUSTMENT-REASON-CODE | COT00003 | CLAIM-LINE-RECORD-OT |
CRX117 | CRX.003.117 | LINE-ADJUSTMENT-REASON-CODE | CRX00003 | CLAIM-LINE-RECORD-RX |