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 payer, claim review organization or repricing organization

Monetary amount

CLP03 is the amount of submitted charges this claim.

Monetary amount

CLP04 is the amount paid this claim.

Monetary amount

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 National Uniform Billing Committee (NUBC) Facility Type Code for Institutional Services or the Place of Service Codes for Professional or Dental Services.

Code specifying the Type of Bill Frequency Code. It is the last digit of Type of Bill in the UB manual, as defined by the National Uniform Billing Committee

A code indicating the disposition or discharge status of the patient as of the discharge date.

CLP11 is used to convey diagnostic related group code.

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.

Value to be used as a multiplier conversion factor to convert monetary value from one currency to another

Code identifying payer types in the most granular way

CLP16 is the Source of Payment Typology Code (see Code Source 944).