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.
Monetary amount.
CLP03 is the amount paid this claim.
Monetary amount.
CLP04 is the amount of submitted charges this claim.
Monetary amount.
CLP05 is the patient responsibility amount.
Code identifying the type of health insurance or program.
