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Claim Referral Code

CLM_HHA_RFRL_CD

EFFECTIVE WITH NCH VERSION I, THE CODE USED TO IDENTIFY THE MEANS BY WHICH THE BENEFICIARY WAS REFERRED FOR HOME HEALTH SERVICES. NOTE: BEGINNING 10/1/00, THIS FIELD WILL BE POPULATED WITH DATA. CLAIMS PROCESSED PRIOR TO 10/1/00 WILL CONTAIN SPACES IN THIS FIELD. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.supportingInfo.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information'
  ).exists() and
    category.coding.where(code = 'CLM_HHA_RFRL_CD').exists()
).code.coding.code
Coverage / Claim Type
  • HHA
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_HHA_RFRL_CD
Reference Table
https://bluebutton.cms.gov/fhir/CodeSystem/CLM-HHA-RFRL-CD
Sources
  • NCH
Profiles
  • CMS

Example 

C

Mappings

CCW
  • CLM_HHA_RFRL_CD

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