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Claim Query Code

CLM_QUERY_CD

INDICATION OF THE TYPE OF CLAIM RECORD BEING PROCESSED WITH RESPECT TO PAYMENT (DEBIT/CREDIT INDICATOR - ORIGINAL, FULL, REPLACEMENT; INTERIM/FINAL INDICATOR). [HRMZ] CODE INDICATING THE TYPE OF CLAIM RECORD BEING PROCESSED WITH RESPECT TO PAYMENT (DEBIT/CREDIT INDICATOR; INTERIM/FINAL INDICATOR). [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_QUERY_CD').exists()
).code.coding.code
Coverage / Claim Type
  • Carrier
  • DME
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM
Source Column
CLM_QUERY_CD
Sources
  • FISS
  • NCH
Profiles
  • CMS
  • Basis
  • Regular

Example

3

Mappings

CCLF
  • CCLF1.CLM_QUERY_CD
CCW
  • CARR_CLM_ENTRY_CD
  • CLAIM_QUERY_CODE
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