Skip to main content

Official websites use .gov
A.gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
Alock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Variable: CLM_TYPE_CD

Claim Type Code

Description:

CA CODE IDENTIFYING THE SOURCE AND TYPE OF CLAIM SUBMITTED THROUGH THE MEDICARE OR MEDICAID PROGRAM.

Values

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

ValueDescription
1MEDICARE PART D ORIGINAL CLAIM
2MEDICARE PART D ADJUSTED CLAIM
3MEDICARE PART D DELETED CLAIM
4MEDICARE PART D RESUBMITTED CLAIM
10MEDICARE HHA CLAIM
20MEDICARE NON-SWING BED SNF CLAIM
30MEDICARE SWING BED SNF CLAIM
40MEDICARE OUTPATIENT CLAIM
50MEDICARE HOSPICE CLAIM
60MEDICARE INPATIENT CLAIM
61MEDICARE INPATIENT FULL ENCOUNTER CLAIM
62MEDICARE ADVANTAGE IME/GME CLAIMS
63MEDICARE ADVANTAGE (NO-PAY) CLAIMS
64MEDICARE ADVANTAGE (PAID AS FFS) CLAIMS
71MEDICARE PART B PROFESSIONAL PHYSICIAN/SUPPLIER CLAIM (NON-DMEPOS)
72MEDICARE PART B PROFESSIONAL PHYSICIAN/SUPPLIER CLAIM (DMEPOS)
81MEDICARE PART B DME REGIONAL CARRIER (DMERC) CLAIM (NON-DMEPOS)
82MEDICARE PART B DME REGIONAL CARRIER (DMERC) CLAIM (DMEPOS)
1000000X MEDICARE SS OTHER TYPE OF BILL GROUPS - PHASE 1
1011011X MEDICARE SS HOSPITAL INPATIENT (PART A) - PHASE 1
1012012X MEDICARE SS HOSPITAL INPATIENT (PART B) - PHASE 1
1013013X MEDICARE SS HOSPITAL OUTPATIENT - PHASE 1
1014014X MEDICARE SS HOSPITAL OTHER (PART B) - PHASE 1
1018018X MEDICARE SS HOSPITAL SWING BED - PHASE 1
1019019X MEDICARE SS - HOSPITAL RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1021021X MEDICARE SS SNF INPATIENT (PART A)- PHASE 1
1022022X MEDICARE SS SNF INPATIENT (PART B) - PHASE 1
1023023X MEDICARE SS SNF OUTPATIENT - PHASE 1
1028028X MEDICARE SS SNF SWING BED - PHASE 1
1029029X MEDICARE SS - SKILLED NURSING RESERVED FOR NATIONAL ASSIGNMENT- PHASE 1
1032032X MEDICARE SS HOME HEALTH INPATIENT (PART B) - PHASE 1
1033033X MEDICARE SS HOME HEALTH OUTPATIENT - PHASE 1
1034034X MEDICARE SS HOME HEALTH (PART B ONLY) - PHASE 1
1039039X MEDICARE SS HHA - RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1041041X MEDICARE SS RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS - PHASE 1
1042042X MEDICARE SS RNHCI HOSPITAL-INPATIENT OR HOME HEALTH VISITS (PART B ONLY) - PHASE 1
1043043X MEDICARE SS RNHCI HOSPITAL-OUTPATIENT (HHA-A ALSO) - PHASE 1
1049049X MEDICARE SS RNHCI HOSPITAL-RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1065065X MEDICARE SS INTERMEDIATE CARE - LEVEL I PHASE 1
1066066X MEDICARE SS INTERMEDIATE CARE LEVEL II PHASE 1
1069069X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1071071X MEDICARE SS CLINIC RHC RURAL HEALTH - PHASE 1
1072072X MEDICARE SS CLINIC ESRD RENAL DIALYSIS - PHASE 1
1073073X MEDICARE SS CLINIC FREESTANDING - PHASE 1
1074074X MEDICARE SS CLINIC ORF OTHER REHAB - PHASE 1
1075075X MEDICARE SS CLINIC CORF COMPREHENSIVE OUTPATIENT REHAB - PHASE 1
1076076X MEDICARE SS CLINIC CMHC COMMUNITY MENTAL HEALTH CENTERS - PHASE 1
1077077X MEDICARE SS CLINIC FQHC FEDERAL QUALIFIED HEALTH CENTER - PHASE 1
1078078X MEDICARE SS LICENSED FREESTANDING EMERGENCY MEDICAL FACILITY (EFFECTIVE 7/1/12) - PHASE 1
1079079X MEDICARE SS CLINIC - OTHER - PHASE 1
1081081X MEDICARE SS HOSPICE NONHOSPITAL-BASED - PHASE 1
1082082X MEDICARE SS HOSPICE HOSPITAL-BASED - PHASE 1
1083083X MEDICARE SS ASC AMBULATORY SURGERY CENTER - PHASE 1
1084084X MEDICARE SS SPECIAL FACILITY FREESTANDING BIRTHING CENTER - PHASE 1
1085085X MEDICARE SS CAH CRITICAL ACCESS HOSPITAL - PHASE 1
1086086X MEDICARE SS SPECIAL FACILITY RESIDENTIAL FACILITY _ PHASE 1
1087087X MEDICARE SS FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21) - PHASE 1
1088088X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1089089X MEDICARE SS SPECIAL FACILITY OR ASC SURGERY-OTHER PHASE 1
1091091X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1092092X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1093093X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1094094X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1095095X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1096096X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1097097X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1098098X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1099099X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1
1700PROF MEDICARE SS PART B PROFESSIONAL - PHASE 1
1800DME MEDICARE SS DME - PHASE 1
1900HOSPICE NOTICE OF ELECTION - PHASE 1
2000000X MEDICARE SS OTHER TYPE OF BILL GROUPS
2011011X MEDICARE SS HOSPITAL INPATIENT (PART A)
2012012X MEDICARE SS HOSPITAL INPATIENT (PART B)
2013013X MEDICARE SS HOSPITAL OUTPATIENT
2014014X MEDICARE SS HOSPITAL OTHER (PART B)
2018018X MEDICARE SS HOSPITAL SWING BED
2019019X MEDICARE SS - HOSPITAL RESERVED FOR NATIONAL ASSIGNMENT
2021021X MEDICARE SS SNF INPATIENT
2022022X MEDICARE SS SNF INPATIENT
2023023X MEDICARE SS SNF OUTPATIENT
2028028X MEDICARE SS SNF SWING BED
2029029X MEDICARE SS - SKILLED NURSING RESERVED FOR NATIONAL ASSIGNMENT
2032032X MEDICARE SS HOME HEALTH INPATIENT (PART B)
2033033X MEDICARE SS HOME HEALTH OUTPATIENT
2034034X MEDICARE SS HOME HEALTH (PART B ONLY)
2039039X MEDICARE SS HHA - RESERVED FOR NATIONAL ASSIGNMENT
2041041X MEDICARE SS RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS
2042042X MEDICARE SS RNHCI HOSPITAL-INPATIENT OR HOME HEALTH VISITS (PART B ONLY)
2043043X MEDICARE SS RNHCI HOSPITAL-OUTPATIENT (HHA-A ALSO)
2049049X MEDICARE SS RNHCI HOSPITAL-RESERVED FOR NATIONAL ASSIGNMENT
2065065X MEDICARE SS INTERMEDIATE CARE - LEVEL I
2066066X MEDICARE SS INTERMEDIATE CARE LEVEL II
2069069X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT
2071071X MEDICARE SS CLINIC RHC RURAL HEALTH
2072072X MEDICARE SS CLINIC ESRD RENAL DIALYSIS
2073073X MEDICARE SS CLINIC FREESTANDING
2074074X MEDICARE SS CLINIC ORF OTHER REHAB
2075075X MEDICARE SS CLINIC CORF COMPREHENSIVE OUTPATIENT REHAB
2076076X MEDICARE SS CLINIC CMHC COMMUNITY MENTAL HEALTH CENTERS
2077077X MEDICARE SS CLINIC FQHC FEDERAL QUALIFIED HEALTH CENTER
2078078X MEDICARE SS LICENSED FREESTANDING EMERGENCY MEDICAL FACILITY (EFFECTIVE 7/1/12)
2079079X MEDICARE SS CLINIC - OTHER
2081081X MEDICARE SS HOSPICE NONHOSPITAL-BASED
2082082X MEDICARE SS HOSPICE HOSPITAL-BASED
2083083X MEDICARE SS ASC AMBULATORY SURGERY CENTER
2084084X MEDICARE SS SPECIAL FACILITY FREESTANDING BIRTHING CENTER
2085085X MEDICARE SS CAH CRITICAL ACCESS HOSPITAL
2086086X MEDICARE SS SPECIAL FACILITY RESIDENTIAL FACILITY
2087087X MEDICARE SS FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21)
2088088X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT
2089089X MEDICARE SS SPECIAL FACILITY OR ASC SURGERY-OTHER
2091091X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT
2092092X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT
2093093X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT
2094094X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT
2095095X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT
2096096X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT
2097097X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT
2098098X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT
2099099X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT
2700PROF MEDICARE SS PART B PROFESSIONAL
2800DME MEDICARE SS DME
2900HOSPICE NOTICE OF ELECTION

bluebutton.cms.gov

official website of theU.S. Department of Health and Human Services and theCenters for Medicare & Medicaid Services.

Looking for U.S. government information and services?
Visit USA.gov