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Claim Source ID

CLM_SRC_ID

AN IDENTIFIER INDICATING WHERE THE SOURCE OF THE CLAIM DATA IN THE INTEGRATED DATA REPOSITORY (IDR) ORIGINATED FROM. VALID VALUES: 20000 = NATIONAL CLAIMS HISTORY (NCH) 21000 = FISCAL INTERMEDIARY SHARED SYSTEM (FISS) 22000 = MULTI-CARRIER SYSTEM (MCS) 23000 = VIABLE INFORMATION PROCESSING SYSTEMS (VIPS) MEDICARE SYSTEM (VMS) 24000 = ENCOUNTER DATA PROCESSING SYSTEM (EDPS) 25000 = ENCOUNTER MEDICAID DUALS 837 CLAIMS AND DUALS MEDICAID DRUG CLAIMS (DMDC) N/A = MEDICAID

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.meta.source
Coverage / Claim Type
  • Pharmacy
Source View
V2_MDCR_CLM
Source Column
CLM_SRC_ID
Reference Table
https://bluebutton.cms.gov/fhir/CodeSystem/CLM-SRC-ID
Sources
  • DDPS
Profiles
  • Basis
  • Regular
  • CMS

Example 

DDPS

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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