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Data Element
CRX114
CRX.003.114
No Updates
Definition | A unique number to identify the transaction line number that is being reported on the original claim. |
---|---|
Size | X(3) |
FLF Start Position | 142 |
FLF Stop Position | 144 |
Segment Key Field Identifier | 4 |
Coding Requirements | 1. Value must be 3 characters or less 2. Value must not contain a pipe or asterisk symbols 3. Mandatory 4. When populated, value must be one or greater |
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 |
---|---|---|---|---|
CIP237 | CIP.003.237 | LINE-NUM-ORIG | CIP00003 | CLAIM-LINE-RECORD-IP |
CLT190 | CLT.003.190 | LINE-NUM-ORIG | CLT00003 | CLAIM-LINE-RECORD-LT |
COT160 | COT.003.160 | LINE-NUM-ORIG | COT00003 | CLAIM-LINE-RECORD-OT |