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Claim Control Number

CLM_CNTL_NUM

AN IDENTIFIER ASSIGNED BY THE CLAIM PROCESSOR (I.E., MEDICARE ADMINISTRATIVE CONTRACTOR, PART D PLAN, OR ENCOUNTER DATA PROCESSING CONTRACTOR) TO A CLAIM.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.identifier.where(
  system = 'https://bluebutton.cms.gov/identifiers/CLM-CNTL-NUM'
).value
Coverage / Claim Type
  • Carrier
  • DME
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM
Source Column
CLM_CNTL_NUM
Sources
  • FISS
  • MCS
  • NCH
  • VMS
Profiles
  • Basis
  • Regular
  • CMS

Example 

DOOPITY-DOOP-DOOP

Mappings

CCLF
  • CCLF1.CLM_CNTL_NUM
  • CCLF5.CLM_CNTL_NUM
  • CCLF6.CLM_CNTL_NUM
CCW
  • CARR_CLM_CNTL_NUM
  • FI_DOC_CLM_CNTL_NUM

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