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Claim Type Code

CLM_TYPE_CD

A code identifying the source and type of claim submitted through the Medicare or Medicaid program. For example: 60 = Medicare National Claims History (NCH) inpatient claim. 8900 = Medicaid fee for service dental. Reference table: CLM_TYPE_CD

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.type.coding.where(
system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD'
).code
Coverage / Claim Type
  • Pharmacy
Source View
V2_MDCR_CLM
Source Column
CLM_TYPE_CD
Sources
  • DDPS
Profiles
  • Basis
  • Regular
  • CMS

Example

1

Mappings

CCLF
  • CCLF7.CLM_TYPE_CD
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