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Variable: CLM_SBMT_FRMT_CD

Claim Submission Format Code

Description:

Code system for claim submission format codes indicating the method or format used to submit the claim.

Values

This variable is coded, and will contain one of the following values.

Value Description
S STATE-TO-PLAN PDES
P PAPER CLAIM FROM PROVIDER
X X12 837
C COB CLAIM
B BENEFICIARY SUBMITTED
N NCPDP ELECTRONIC SUBMISSION
A MEDICAID SUBROGATION CLAIM

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