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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.

ValueDescription
SSTATE-TO-PLAN PDES
PPAPER CLAIM FROM PROVIDER
XX12 837
CCOB CLAIM
BBENEFICIARY SUBMITTED
NNCPDP ELECTRONIC SUBMISSION
AMEDICAID SUBROGATION CLAIM
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