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Claim Line Prior Authorization Unique Tracking Number (Partially Adjudicated)

CLM_LINE_PA_UNIQ_TRKNG_NUM

A NUMBER IDENTIFYING A UNIQUE TRACKING NUMBER (UTN) FOR A PRIOR AUTHORIZATION (PA).

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_LINE_PMD_UNIQ_TRKNG_NUM'
    ).exists()
).value
Coverage / Claim Type
  • Carrier
  • DME
  • Hospice
  • Inpatient
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_LINE_DCMTN
Source Column
CLM_LINE_PA_UNIQ_TRKNG_NUM
Sources
  • FISS
  • MCS
Profiles
  • CMS

Example 

ALA00000047747

bluebutton.cms.gov

official website of the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services.

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