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System: Claim Group

Usage

System URI: https://bluebutton.cms.gov/resources/identifier/claim-group

Description

Provides an identifier for grouping multiple iterations/revisions of a single claim.

Institutional claims are grouped as follows:

  1. Beneficiary MBI Number.
  2. Provider Number.
  3. Claim from due date.
  4. Claim through date.

Non-Institutional claims are grouped as follows:

  1. Beneficiary MBI Number.
  2. Carrier claim control number.

bluebutton.cms.gov

official website of the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services.

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