CLP Claim Level Data
To supply information common to all services of a claim
Identifier used to track a claim from creation by the health care provider through payment
Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization
CLP03 is the amount of submitted charges this claim.
CLP04 is the amount paid this claim.
CLP05 is the patient responsibility amount.
Code identifying type of claim
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
CLP07 is the payer's internal control number.
Code identifying where services were, or may be, performed; the first and second positions of the Uniform Bill Type Code for Institutional Services or the Place of Service Codes for Professional or Dental Services.
Code specifying the frequency of the claim; this is the third position of the Uniform Billing Claim Form Bill Type
Code indicating patient status as of the "statement covers through date"
Code indicating a patient's diagnosis group based on a patient's illness, diseases, and medical problems
Numeric value of quantity
CLP12 is the diagnosis-related group (DRG) weight.
Percentage expressed as a decimal (e.g., 0.0 through 1.0 represents 0% through 100%)
CLP13 is the discharge fraction.
Code indicating a Yes or No condition or response
CLP14 is the patient authorization to coordinate benefits. A "Y" indicates that the authorization exists; an "N" indicates that the authorization does not exist.