Variable: Supporting_Information
Supporting Information
Description:
A selection of codes that provide supporting information about the claim.
Values
This variable is coded, and will contain one of the following values.
| Value | Description |
| CLM_NCH_WKLY_PROC_DT | Weekly Process Date |
| CLM_BLOOD_PT_FRNSH_QTY | Blood Pints Furnished Quantity |
| CLM_MDCR_INSTNL_MCO_PD_SW | MCO Paid Switch |
| CLM_MDCR_NCH_PTNT_STUS_IND_CD | Patient Status Code |
| CLM_ACTV_CARE_THRU_DT | Covered Care Through Date |
| CLM_NCVRD_FROM_DT | Noncovered Stay From Date |
| CLM_NCVRD_THRU_DT | Noncovered Stay Through Date |
| CLM_MDCR_EXHSTD_DT | Medicare Benefits Exhausted Date |
| CLM_PPS_IND_CD | Claim PPS Indicator Code |
| CLM_NCH_PRMRY_PYR_CD | NCH Primary Payer Code |
| CLM_QLFY_STAY_FROM_DT | Qualified Stay From Date |
| CLM_QLFY_STAY_THRU_DT | Qualified Stay Through Date |
| CLM_HHA_LUP_IND_CD | Claim Lupa Indicator Code |
| CLM_HHA_RFRL_CD | Claim Referral Code |
| CLM_PHRMCY_SRVC_TYPE_CD | Pharmacy Service Type Code |
| CLM_PTNT_RSDNC_CD | Patient Residence Code |
| CLM_LTC_DSPNSNG_MTHD_CD | Submission Clarification Code |
| CLM_DRUG_CVRG_STUS_CD | Drug Coverage Status Code |
| CLM_CTSTRPHC_CVRG_IND_CD | Catastrophic Coverage Code |
| CLM_LINE_HCT_HGB_RSLT_NUM | HCT/HGB Test Result |
| CLM_DSPNSNG_STUS_CD | Claim Dispensing Status Code |
| CLM_LINE_RX_NUM | Claim Line Prescription Service Reference Number |
| DGNS_DRG_OUTLIER_CD | Claim Diagnosis Related Group Outlier Stay Code |
| CLM_NRLN_RIC_CD | Near Line Record Identification Code |
| CLM_RLT_COND_CD | Claim Related Condition Code |
| CLM_QUERY_CD | Claim Query Code |
| CLM_SBMT_FRMT_CD | Claim Submission Format Code |
| CLM_CNTRCTR_NUM | Claim Contractor Number |
| CLM_ADJSTMT_TYPE_CD | Claim Adjustment Type Code |
| CLM_DISP_CD | Claim Disposition Code |
| CLM_CARR_PMT_DNL_CD | Claim Payment Denial Code |
| CLM_MDCR_PRFNL_PRVDR_ASGNMT_SW | Provider Assignement Indicator |
| CLM_MDCR_NPMT_RSN_CD | Claim Non Payment Reason Code |
| CLM_FI_ACTN_CD | Claim Fiscal Intermediary Action Code |
| CLM_OP_SRVC_TYPE_CD | Claim Outpatient Service Type Code |
| CLM_IDR_LD_DT | Claim IDR Load Date |
| CLM_CMS_PROC_DT | FI Claim Process Date |
| CLM_CLNCL_TRIL_NUM | Clinical Trial Number |
| CLM_AUDT_TRL_STUS_CD | Claim Status Code |
| CLM_LINE_PMD_UNIQ_TRKNG_NUM | Prior Authorization Unique Tracking Number |
| CLM_SBMTR_CNTRCT_NUM | Submitter Contract Number |
| CLM_SBMTR_CNTRCT_PBP_NUM | Submitter Contract PBP Number |
| CLM_BNFT_ENHNCMT_CD | Claim Benefit Enhancement Code |
| CLM_NGACO_PBPMT_SW | PBP Benefit Enhancement Indicator |
| CLM_NGACO_PDSCHRG_HCBS_SW | Post Discharge Home Visit Benefit Enhancement Indicator |
| CLM_NGACO_SNF_WVR_SW | SNF 3-Day Waiver Enhancement |
| CLM_NGACO_TLHLTH_SW | Telehealth Benefit Enhancement Indicator |
| CLM_NGACO_CPTATN_SW | AIPBP Benefit Enhancement Indicator |
| CLM_ACO_CARE_MGMT_HCBS_SW | Care Management Home Visits Enhancement |
| CLM_PD_STUS_CD | Claim Paid Status Code |