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Claim Submission Format Code

CLM_SBMT_FRMT_CD

A code identifying the format of the claim as submitted.

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_SBMT_FRMT_CD').exists()
).code.coding.code
Coverage / Claim Type
  • Pharmacy
Source View
V2_MDCR_CLM
Source Column
CLM_SBMT_FRMT_CD
Reference Table
https://bluebutton.cms.gov/fhir/CodeSystem/CLM-SBMT-FRMT-CD
Sources
  • DDPS
Profiles
  • Regular
  • CMS

Example 

X

Mappings

CCW
  • NSTD_FRMT_CD

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