United States Health Information Knowledgebase

 

File Submission Comparison

Selected Items
Action Item Name Version State Type Organization
Medical Claims File Submission September 27, 2011 - v2011.1.1 Oregon File Specification Office for Oregon Health Policy and Research (OHPR)
Medical Claims File Submission June 25, 2012 - v2013.0.0 Oregon File Specification Office for Oregon Health Policy and Research (OHPR)
Medical Claims File Submission June 27, 2013 - v2014.0.0 Oregon File Specification Office for Oregon Health Policy and Research (OHPR)
Medical Claims File Submission 2015.0.1 Oregon File Specification Office for Oregon Health Policy and Research (OHPR)
File Specification: Medical Claims File Submission - September 27, 2011 - v2011.1.1 (Oregon) Medical Claims File Submission - June 25, 2012 - v2013.0.0 (Oregon) Medical Claims File Submission - June 27, 2013 - v2014.0.0 (Oregon) Medical Claims File Submission - 2015.0.1 (Oregon)
[Shared] Responsible Organization:
Office for Oregon Health Policy and Research Office for Oregon Health Policy and Research Office for Oregon Health Policy and Research Office for Oregon Health Policy and Research
[Unshared] Definition:
Not Provided Medical claims and pharmacy claims files capture plan payments, member financial responsibility (co-pay, co-insurance, deductible), diagnoses, procedures performed, and numerous other data fields. Medical claims and pharmacy claims files capture plan payments, member financial responsibility (co-pay, co-insurance, deductible), diagnoses, procedures performed, and numerous other data fields. Medical claims and pharmacy claims files capture plan payments, member financial responsibility (co-pay, co-insurance, deductible), diagnoses, procedures performed, and numerous other data fields.
File Specification: Medical Claims File Submission - September 27, 2011 - v2011.1.1 (Oregon) Medical Claims File Submission - June 25, 2012 - v2013.0.0 (Oregon) Medical Claims File Submission - June 27, 2013 - v2014.0.0 (Oregon) Medical Claims File Submission - 2015.0.1 (Oregon)
MC001
[Shared] Name: Payer type
[Shared] Type: Text
[Shared] Length: 1
Codes:
C
Carrier
D
Medicaid
G
Other government agency
P
Pharmacy benefits manager
T
Third-party administrator
U
Unlicensed entity
[Shared] Name: Payer type
[Shared] Type: Text
[Shared] Length: 1
Codes:
C
Carrier
D
Medicaid
G
Other government agency
P
Pharmacy benefits manager
T
Third-party administrator
U
Unlicensed entity
[Shared] Name: Payer type
[Shared] Type: Text
[Shared] Length: 1
Codes:
C
Carrier
D
Medicaid
G
Other government agency
P
Pharmacy benefits manager
T
Third-party administrator
U
Unlicensed entity
[Shared] Name: Payer type
[Shared] Type: Text
[Shared] Length: 1
Codes:
C
Carrier
D
Medicaid
G
Other government agency
P
Pharmacy benefits manager
T
Third-party administrator
U
Unlicensed entity
MC003
[Shared] Name: Product code
[Shared] Type: Text
[Shared] Length: 3
Codes:
CHP
Special Childrens Health Insurance Program (SCHIP)
EPO
Commercial EPO
HMO
Commercial HMO
IN
Commercial indemnity
MC
Medicare Cost
MD
Medicaid disabled HMO
MDE
Medicaid dual eligible HMO
MDF
Medicaid fee-for-service
MLI
Medicaid low income HMO
MP
Medicare Advantage PPO
 
 
MR
Medicare Advantage HMO
MRB
Medicaid restricted benefit HMO
PH
Pharmacy benefits only
POS
Commercial POS
PPO
Commercial PPO
SIF
Self insured POS
SIH
Self insured HMO
SIP
Self insured PPO
SL
Commercial stop loss
SN1
Special needs plan - chronic condition
SN2
Special needs plan - institutionalized
SN3
Special needs plan - dual eligible
ZZ
Unknown
[Shared] Name: Product code
[Shared] Type: Text
[Shared] Length: 3
Codes:
CHP
Special Childrens Health Insurance Program (SCHIP)
EPO
Commercial EPO
HMO
Commercial HMO
IN
Commercial indemnity
MC
Medicare Cost
MD
Medicaid disabled HMO
MDE
Medicaid dual eligible HMO
MDF
Medicaid fee-for-service
MLI
Medicaid low income HMO
MP
Medicare Advantage PPO
 
 
MR
Medicare Advantage HMO
MRB
Medicaid restricted benefit HMO
PH
Pharmacy benefits only
POS
Commercial POS
PPO
Commercial PPO
SIF
Self insured POS
SIH
Self insured HMO
SIP
Self insured PPO
SL
Commercial stop loss
SN1
Special needs plan - chronic condition
SN2
Special needs plan - institutionalized
SN3
Special needs plan - dual eligible
ZZ
Unknown
[Shared] Name: Product code
[Shared] Type: Text
[Shared] Length: 3
Codes:
CHP
Special Childrens Health Insurance Program (SCHIP)
EPO
Commercial EPO
HMO
Commercial HMO
IN
Commercial indemnity
MC
Medicare Cost
MD
Medicaid disabled HMO
MDE
Medicaid dual eligible HMO
MDF
Medicaid fee-for-service
MLI
Medicaid low income HMO
MP
Medicare Advantage PPO
 
 
MR
Medicare Advantage HMO
MRB
Medicaid restricted benefit HMO
PH
Pharmacy benefits only
POS
Commercial POS
PPO
Commercial PPO
SIF
Self insured POS
SIH
Self insured HMO
SIP
Self insured PPO
SL
Commercial stop loss
SN1
Special needs plan - chronic condition
SN2
Special needs plan - institutionalized
SN3
Special needs plan - dual eligible
ZZ
Unknown
[Shared] Name: Product code
[Shared] Type: Text
[Shared] Length: 3
Codes:
CHP
Special Childrens Health Insurance Program (SCHIP)
EPO
Commercial EPO
HMO
Commercial HMO
IN
Commercial indemnity
MC
Medicare Cost
MD
Medicaid disabled HMO
MDE
Medicaid dual eligible HMO
MDF
Medicaid fee-for-service
MLI
Medicaid low income HMO
MP
Medicare Advantage PPO
MPD
Medicare Part D only
MR
Medicare Advantage HMO
MRB
Medicaid restricted benefit HMO
PH
Pharmacy benefits only
POS
Commercial POS
PPO
Commercial PPO
SIF
Self insured POS
SIH
Self insured HMO
SIP
Self insured PPO
SL
Commercial stop loss
SN1
Special needs plan - chronic condition
SN2
Special needs plan - institutionalized
SN3
Special needs plan - dual eligible
ZZ
Unknown
MC004
[Shared] Name: Claim ID
[Shared] Type: Text
[Shared] Length: 80
[Shared] Name: Claim ID
[Shared] Type: Text
[Shared] Length: 80
[Shared] Name: Claim ID
[Shared] Type: Text
[Shared] Length: 80
[Shared] Name: Claim ID
[Shared] Type: Text
[Shared] Length: 80
MC005
[Shared] Name: Service line counter
[Shared] Type: Numeric
[Shared] Length: 4
[Shared] Name: Service line counter
[Shared] Type: Numeric
[Shared] Length: 4
[Shared] Name: Service line counter
[Shared] Type: Numeric
[Shared] Length: 4
[Shared] Name: Service line counter
[Shared] Type: Numeric
[Shared] Length: 4
MC008
Data Element: MC008
not present in this file submission.
[Unshared] Name: Plan specific contract number
[Unshared] Type: Text
[Unshared] Length: 30
[Unshared] Name: Plan specific contract number
[Unshared] Type: Text
[Unshared] Length: 30
[Unshared] Name: Plan specific contract number
[Unshared] Type: Text
[Unshared] Length: 30
MC010
[Shared] Name: Member ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Member ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Member ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Member ID
[Shared] Type: Text
[Shared] Length: 30
MC017
[Shared] Name: Payment date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Payment date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Payment date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Payment date
[Shared] Type: Date
[Shared] Length: 8
MC018
[Shared] Name: Admission date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Admission date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Admission date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Admission date
[Shared] Type: Date
[Shared] Length: 8
MC023
[Shared] Name: Discharge status
[Shared] Type: Text
[Shared] Length: 2
Codes:
01
Discharged to home or self care
02
Discharged/transferred to another short term general hospital for inpatient care
03
Discharged/transferred to skilled nursing facility (SNF)
04
Discharged/transferred to nursing facility (NF)
05
Discharged/transferred to a designated cancer center or children's hospital
06
Discharged/transferred to home under care of organized home health service organization
07
Left against medical advice or discontinued care
08
Discharged/transferred to home under care of a Home IV provider
09
Admitted as an inpatient to this hospital
20
Expired
21
Discharged/transferred to court/law enforcement
30
Still patient or expected to return for outpatient services
40
Expired at home
41
Expired in a medical facility
42
Expired, place unknown
43
Discharged/transferred to a Federal hospital
50
Hospice - home
51
Hospice - medical facility
61
Discharged/transferred within this institution to a hospital based Medicare-approved swing bed
62
Discharged/transferred to an inpatient rehabilitation facility including distinct parts of a hospital
63
Discharge/transferred to a long-term care hospital
64
Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare
65
Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital
66
Discharged/transferred to a critical access hospital (CAH)
70
Discharged/transferred to another type of health care institution not defined elsewhere in this code list
[Shared] Name: Discharge status
[Shared] Type: Text
[Shared] Length: 2
Codes:
01
Discharged to home or self care
02
Discharged/transferred to another short term general hospital for inpatient care
03
Discharged/transferred to skilled nursing facility (SNF)
04
Discharged/transferred to nursing facility (NF)
05
Discharged/transferred to a designated cancer center or children's hospital
06
Discharged/transferred to home under care of organized home health service organization
07
Left against medical advice or discontinued care
08
Discharged/transferred to home under care of a Home IV provider
09
Admitted as an inpatient to this hospital
20
Expired
21
Discharged/transferred to court/law enforcement
30
Still patient or expected to return for outpatient services
40
Expired at home
41
Expired in a medical facility
42
Expired, place unknown
43
Discharged/transferred to a Federal hospital
50
Hospice - home
51
Hospice - medical facility
61
Discharged/transferred within this institution to a hospital based Medicare-approved swing bed
62
Discharged/transferred to an inpatient rehabilitation facility including distinct parts of a hospital
63
Discharge/transferred to a long-term care hospital
64
Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare
65
Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital
66
Discharged/transferred to a critical access hospital (CAH)
70
Discharged/transferred to another type of health care institution not defined elsewhere in this code list
[Shared] Name: Discharge status
[Shared] Type: Text
[Shared] Length: 2
Codes:
01
Discharged to home or self care
02
Discharged/transferred to another short term general hospital for inpatient care
03
Discharged/transferred to skilled nursing facility (SNF)
04
Discharged/transferred to nursing facility (NF)
05
Discharged/transferred to a designated cancer center or children's hospital
06
Discharged/transferred to home under care of organized home health service organization
07
Left against medical advice or discontinued care
08
Discharged/transferred to home under care of a Home IV provider
09
Admitted as an inpatient to this hospital
20
Expired
21
Discharged/transferred to court/law enforcement
30
Still patient or expected to return for outpatient services
40
Expired at home
41
Expired in a medical facility
42
Expired, place unknown
43
Discharged/transferred to a Federal hospital
50
Hospice - home
51
Hospice - medical facility
61
Discharged/transferred within this institution to a hospital based Medicare-approved swing bed
62
Discharged/transferred to an inpatient rehabilitation facility including distinct parts of a hospital
63
Discharge/transferred to a long-term care hospital
64
Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare
65
Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital
66
Discharged/transferred to a critical access hospital (CAH)
70
Discharged/transferred to another type of health care institution not defined elsewhere in this code list
[Shared] Name: Discharge status
[Shared] Type: Text
[Shared] Length: 2
Codes:
01
Discharged to home or self care
02
Discharged/transferred to another short term general hospital for inpatient care
03
Discharged/transferred to skilled nursing facility (SNF)
04
Discharged/transferred to nursing facility (NF)
05
Discharged/transferred to a designated cancer center or children's hospital
06
Discharged/transferred to home under care of organized home health service organization
07
Left against medical advice or discontinued care
08
Discharged/transferred to home under care of a Home IV provider
09
Admitted as an inpatient to this hospital
20
Expired
21
Discharged/transferred to court/law enforcement
30
Still patient or expected to return for outpatient services
40
Expired at home
41
Expired in a medical facility
42
Expired, place unknown
43
Discharged/transferred to a Federal hospital
50
Hospice - home
51
Hospice - medical facility
61
Discharged/transferred within this institution to a hospital based Medicare-approved swing bed
62
Discharged/transferred to an inpatient rehabilitation facility including distinct parts of a hospital
63
Discharge/transferred to a long-term care hospital
64
Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare
65
Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital
66
Discharged/transferred to a critical access hospital (CAH)
70
Discharged/transferred to another type of health care institution not defined elsewhere in this code list
MC024
[Shared] Name: Rendering provider ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Rendering provider ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Rendering provider ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Rendering provider ID
[Shared] Type: Text
[Shared] Length: 30
MC036
[Shared] Name: Type of bill
[Shared] Type: Numeric
[Shared] Length: 3
Codes:
111
Hospital Inpatient (Including Medicare Part A) Admit Through Discharge
112
Hospital Inpatient (Including Medicare Part A) Interim-First Claim
113
Hospital Inpatient (Including Medicare Part A) Interim-Continuing Claims
114
Hospital Inpatient (Including Medicare Part A) Interim-Last Claim
115
Hospital Inpatient (Including Medicare Part A) Late Charge Only
117
Hospital Inpatient (Including Medicare Part A) Replacement of Prior Claim
118
Hospital Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
119
Hospital Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
121
Hospital Inpatient (Medicare Part B Only) Admit Through Discharge
122
Hospital Inpatient (Medicare Part B Only) Interim-First Claim
123
Hospital Inpatient (Medicare Part B Only) Interim-Continuing Claims
124
Hospital Inpatient (Medicare Part B Only) Interim-Last Claim
125
Hospital Inpatient (Medicare Part B Only) Late Charge Only
127
Hospital Inpatient (Medicare Part B Only) Replacement of Prior Claim
128
Hospital Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
129
Hospital Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
131
Hospital Outpatient Admit Through Discharge
132
Hospital Outpatient Interim-First Claim
133
Hospital Outpatient Interim-Continuing Claims
134
Hospital Outpatient Interim-Last Claim
135
Hospital Outpatient Late Charge Only
137
Hospital Outpatient Replacement of Prior Claim
138
Hospital Outpatient Void/Cancel of a Prior Claim
139
Hospital Outpatient Final Claim for a Home Health Encounter
141
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
142
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
143
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
144
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
145
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
147
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
148
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
149
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
151
Hospital Nursing Facility Level I Admit Through Discharge
152
Hospital Nursing Facility Level I Interim-First Claim
153
Hospital Nursing Facility Level I Interim-Continuing Claims
154
Hospital Nursing Facility Level I Interim-Last Claim
155
Hospital Nursing Facility Level I Late Charge Only
157
Hospital Nursing Facility Level I Replacement of Prior Claim
158
Hospital Nursing Facility Level I Void/Cancel of a Prior Claim
159
Hospital Nursing Facility Level I Final Claim for a Home Health Encounter
161
Hospital Nursing Facility Level II Admit Through Discharge
162
Hospital Nursing Facility Level II Interim-First Claim
163
Hospital Nursing Facility Level II Interim-Continuing Claims
164
Hospital Nursing Facility Level II Interim-Last Claim
165
Hospital Nursing Facility Level II Late Charge Only
167
Hospital Nursing Facility Level II Replacement of Prior Claim
168
Hospital Nursing Facility Level II Void/Cancel of a Prior Claim
169
Hospital Nursing Facility Level II Final Claim for a Home Health Encounter
171
Hospital Intermediate Care -Level III Nursing Facility Admit Through Discharge
172
Hospital Intermediate Care -Level III Nursing Facility Interim-First Claim
173
Hospital Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
174
Hospital Intermediate Care -Level III Nursing Facility Interim-Last Claim
175
Hospital Intermediate Care -Level III Nursing Facility Late Charge Only
177
Hospital Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
178
Hospital Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
179
Hospital Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
181
Hospital Swing Beds Admit Through Discharge
182
Hospital Swing Beds Interim-First Claim
183
Hospital Swing Beds Interim-Continuing Claims
184
Hospital Swing Beds Interim-Last Claim
185
Hospital Swing Beds Late Charge Only
187
Hospital Swing Beds Replacement of Prior Claim
188
Hospital Swing Beds Void/Cancel of a Prior Claim
189
Hospital Swing Beds Final Claim for a Home Health Encounter
211
Skilled Nursing Inpatient (Including Medicare Part A) Admit Through Discharge
212
Skilled Nursing Inpatient (Including Medicare Part A) Interim-First Claim
213
Skilled Nursing Inpatient (Including Medicare Part A) Interim-Continuing Claims
214
Skilled Nursing Inpatient (Including Medicare Part A) Interim-Last Claim
215
Skilled Nursing Inpatient (Including Medicare Part A) Late Charge Only
217
Skilled Nursing Inpatient (Including Medicare Part A) Replacement of Prior Claim
218
Skilled Nursing Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
219
Skilled Nursing Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
221
Skilled Nursing Inpatient (Medicare Part B Only) Admit Through Discharge
222
Skilled Nursing Inpatient (Medicare Part B Only) Interim-First Claim
223
Skilled Nursing Inpatient (Medicare Part B Only) Interim-Continuing Claims
224
Skilled Nursing Inpatient (Medicare Part B Only) Interim-Last Claim
225
Skilled Nursing Inpatient (Medicare Part B Only) Late Charge Only
227
Skilled Nursing Inpatient (Medicare Part B Only) Replacement of Prior Claim
228
Skilled Nursing Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
229
Skilled Nursing Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
231
Skilled Nursing Outpatient Admit Through Discharge
232
Skilled Nursing Outpatient Interim-First Claim
233
Skilled Nursing Outpatient Interim-Continuing Claims
234
Skilled Nursing Outpatient Interim-Last Claim
235
Skilled Nursing Outpatient Late Charge Only
237
Skilled Nursing Outpatient Replacement of Prior Claim
238
Skilled Nursing Outpatient Void/Cancel of a Prior Claim
239
Skilled Nursing Outpatient Final Claim for a Home Health Encounter
241
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
242
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
243
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
244
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
245
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
247
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
248
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
249
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
251
Skilled Nursing Nursing Facility Level I Admit Through Discharge
252
Skilled Nursing Nursing Facility Level I Interim-First Claim
253
Skilled Nursing Nursing Facility Level I Interim-Continuing Claims
254
Skilled Nursing Nursing Facility Level I Interim-Last Claim
255
Skilled Nursing Nursing Facility Level I Late Charge Only
257
Skilled Nursing Nursing Facility Level I Replacement of Prior Claim
258
Skilled Nursing Nursing Facility Level I Void/Cancel of a Prior Claim
259
Skilled Nursing Nursing Facility Level I Final Claim for a Home Health Encounter
261
Skilled Nursing Nursing Facility Level II Admit Through Discharge
262
Skilled Nursing Nursing Facility Level II Interim-First Claim
263
Skilled Nursing Nursing Facility Level II Interim-Continuing Claims
264
Skilled Nursing Nursing Facility Level II Interim-Last Claim
265
Skilled Nursing Nursing Facility Level II Late Charge Only
267
Skilled Nursing Nursing Facility Level II Replacement of Prior Claim
268
Skilled Nursing Nursing Facility Level II Void/Cancel of a Prior Claim
269
Skilled Nursing Nursing Facility Level II Final Claim for a Home Health Encounter
271
Skilled Nursing Intermediate Care -Level III Nursing Facility Admit Through Discharge
272
Skilled Nursing Intermediate Care -Level III Nursing Facility Interim-First Claim
273
Skilled Nursing Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
274
Skilled Nursing Intermediate Care -Level III Nursing Facility Interim-Last Claim
275
Skilled Nursing Intermediate Care -Level III Nursing Facility Late Charge Only
277
Skilled Nursing Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
278
Skilled Nursing Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
279
Skilled Nursing Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
281
Skilled Nursing Swing Beds Admit Through Discharge
282
Skilled Nursing Swing Beds Interim-First Claim
283
Skilled Nursing Swing Beds Interim-Continuing Claims
284
Skilled Nursing Swing Beds Interim-Last Claim
285
Skilled Nursing Swing Beds Late Charge Only
287
Skilled Nursing Swing Beds Replacement of Prior Claim
288
Skilled Nursing Swing Beds Void/Cancel of a Prior Claim
289
Skilled Nursing Swing Beds Final Claim for a Home Health Encounter
311
Home Health Inpatient (Including Medicare Part A) Admit Through Discharge
312
Home Health Inpatient (Including Medicare Part A) Interim-First Claim
313
Home Health Inpatient (Including Medicare Part A) Interim-Continuing Claims
314
Home Health Inpatient (Including Medicare Part A) Interim-Last Claim
315
Home Health Inpatient (Including Medicare Part A) Late Charge Only
317
Home Health Inpatient (Including Medicare Part A) Replacement of Prior Claim
318
Home Health Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
319
Home Health Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
321
Home Health Inpatient (Medicare Part B Only) Admit Through Discharge
322
Home Health Inpatient (Medicare Part B Only) Interim-First Claim
323
Home Health Inpatient (Medicare Part B Only) Interim-Continuing Claims
324
Home Health Inpatient (Medicare Part B Only) Interim-Last Claim
325
Home Health Inpatient (Medicare Part B Only) Late Charge Only
327
Home Health Inpatient (Medicare Part B Only) Replacement of Prior Claim
328
Home Health Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
329
Home Health Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
331
Home Health Outpatient Admit Through Discharge
332
Home Health Outpatient Interim-First Claim
333
Home Health Outpatient Interim-Continuing Claims
334
Home Health Outpatient Interim-Last Claim
335
Home Health Outpatient Late Charge Only
337
Home Health Outpatient Replacement of Prior Claim
338
Home Health Outpatient Void/Cancel of a Prior Claim
339
Home Health Outpatient Final Claim for a Home Health Encounter
341
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
342
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
343
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
344
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
345
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
347
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
348
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
349
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
351
Home Health Nursing Facility Level I Admit Through Discharge
352
Home Health Nursing Facility Level I Interim-First Claim
353
Home Health Nursing Facility Level I Interim-Continuing Claims
354
Home Health Nursing Facility Level I Interim-Last Claim
355
Home Health Nursing Facility Level I Late Charge Only
357
Home Health Nursing Facility Level I Replacement of Prior Claim
358
Home Health Nursing Facility Level I Void/Cancel of a Prior Claim
359
Home Health Nursing Facility Level I Final Claim for a Home Health Encounter
361
Home Health Nursing Facility Level II Admit Through Discharge
362
Home Health Nursing Facility Level II Interim-First Claim
363
Home Health Nursing Facility Level II Interim-Continuing Claims
364
Home Health Nursing Facility Level II Interim-Last Claim
365
Home Health Nursing Facility Level II Late Charge Only
367
Home Health Nursing Facility Level II Replacement of Prior Claim
368
Home Health Nursing Facility Level II Void/Cancel of a Prior Claim
369
Home Health Nursing Facility Level II Final Claim for a Home Health Encounter
371
Home Health Intermediate Care -Level III Nursing Facility Admit Through Discharge
372
Home Health Intermediate Care -Level III Nursing Facility Interim-First Claim
373
Home Health Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
374
Home Health Intermediate Care -Level III Nursing Facility Interim-Last Claim
375
Home Health Intermediate Care -Level III Nursing Facility Late Charge Only
377
Home Health Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
378
Home Health Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
379
Home Health Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
381
Home Health Swing Beds Admit Through Discharge
382
Home Health Swing Beds Interim-First Claim
383
Home Health Swing Beds Interim-Continuing Claims
384
Home Health Swing Beds Interim-Last Claim
385
Home Health Swing Beds Late Charge Only
387
Home Health Swing Beds Replacement of Prior Claim
388
Home Health Swing Beds Void/Cancel of a Prior Claim
389
Home Health Swing Beds Final Claim for a Home Health Encounter
411
Christian Science Hospital Inpatient (Including Medicare Part A) Admit Through Discharge
412
Christian Science Hospital Inpatient (Including Medicare Part A) Interim-First Claim
413
Christian Science Hospital Inpatient (Including Medicare Part A) Interim-Continuing Claims
414
Christian Science Hospital Inpatient (Including Medicare Part A) Interim-Last Claim
415
Christian Science Hospital Inpatient (Including Medicare Part A) Late Charge Only
417
Christian Science Hospital Inpatient (Including Medicare Part A) Replacement of Prior Claim
418
Christian Science Hospital Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
419
Christian Science Hospital Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
421
Christian Science Hospital Inpatient (Medicare Part B Only) Admit Through Discharge
422
Christian Science Hospital Inpatient (Medicare Part B Only) Interim-First Claim
423
Christian Science Hospital Inpatient (Medicare Part B Only) Interim-Continuing Claims
424
Christian Science Hospital Inpatient (Medicare Part B Only) Interim-Last Claim
425
Christian Science Hospital Inpatient (Medicare Part B Only) Late Charge Only
427
Christian Science Hospital Inpatient (Medicare Part B Only) Replacement of Prior Claim
428
Christian Science Hospital Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
429
Christian Science Hospital Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
431
Christian Science Hospital Outpatient Admit Through Discharge
432
Christian Science Hospital Outpatient Interim-First Claim
433
Christian Science Hospital Outpatient Interim-Continuing Claims
434
Christian Science Hospital Outpatient Interim-Last Claim
435
Christian Science Hospital Outpatient Late Charge Only
437
Christian Science Hospital Outpatient Replacement of Prior Claim
438
Christian Science Hospital Outpatient Void/Cancel of a Prior Claim
439
Christian Science Hospital Outpatient Final Claim for a Home Health Encounter
441
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
442
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
443
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
444
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
445
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
447
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
448
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
449
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
451
Christian Science Hospital Nursing Facility Level I Admit Through Discharge
452
Christian Science Hospital Nursing Facility Level I Interim-First Claim
453
Christian Science Hospital Nursing Facility Level I Interim-Continuing Claims
454
Christian Science Hospital Nursing Facility Level I Interim-Last Claim
455
Christian Science Hospital Nursing Facility Level I Late Charge Only
457
Christian Science Hospital Nursing Facility Level I Replacement of Prior Claim
458
Christian Science Hospital Nursing Facility Level I Void/Cancel of a Prior Claim
459
Christian Science Hospital Nursing Facility Level I Final Claim for a Home Health Encounter
461
Christian Science Hospital Nursing Facility Level II Admit Through Discharge
462
Christian Science Hospital Nursing Facility Level II Interim-First Claim
463
Christian Science Hospital Nursing Facility Level II Interim-Continuing Claims
464
Christian Science Hospital Nursing Facility Level II Interim-Last Claim
465
Christian Science Hospital Nursing Facility Level II Late Charge Only
467
Christian Science Hospital Nursing Facility Level II Replacement of Prior Claim
468
Christian Science Hospital Nursing Facility Level II Void/Cancel of a Prior Claim
469
Christian Science Hospital Nursing Facility Level II Final Claim for a Home Health Encounter
471
Christian Science Hospital Intermediate Care -Level III Nursing Facility Admit Through Discharge
472
Christian Science Hospital Intermediate Care -Level III Nursing Facility Interim-First Claim
473
Christian Science Hospital Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
474
Christian Science Hospital Intermediate Care -Level III Nursing Facility Interim-Last Claim
475
Christian Science Hospital Intermediate Care -Level III Nursing Facility Late Charge Only
477
Christian Science Hospital Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
478
Christian Science Hospital Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
479
Christian Science Hospital Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
481
Christian Science Hospital Swing Beds Admit Through Discharge
482
Christian Science Hospital Swing Beds Interim-First Claim
483
Christian Science Hospital Swing Beds Interim-Continuing Claims
484
Christian Science Hospital Swing Beds Interim-Last Claim
485
Christian Science Hospital Swing Beds Late Charge Only
487
Christian Science Hospital Swing Beds Replacement of Prior Claim
488
Christian Science Hospital Swing Beds Void/Cancel of a Prior Claim
489
Christian Science Hospital Swing Beds Final Claim for a Home Health Encounter
511
Christian Science Extended Care Inpatient (Including Medicare Part A) Admit Through Discharge
512
Christian Science Extended Care Inpatient (Including Medicare Part A) Interim-First Claim
513
Christian Science Extended Care Inpatient (Including Medicare Part A) Interim-Continuing Claims
514
Christian Science Extended Care Inpatient (Including Medicare Part A) Interim-Last Claim
515
Christian Science Extended Care Inpatient (Including Medicare Part A) Late Charge Only
517
Christian Science Extended Care Inpatient (Including Medicare Part A) Replacement of Prior Claim
518
Christian Science Extended Care Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
519
Christian Science Extended Care Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
521
Christian Science Extended Care Inpatient (Medicare Part B Only) Admit Through Discharge
522
Christian Science Extended Care Inpatient (Medicare Part B Only) Interim-First Claim
523
Christian Science Extended Care Inpatient (Medicare Part B Only) Interim-Continuing Claims
524
Christian Science Extended Care Inpatient (Medicare Part B Only) Interim-Last Claim
525
Christian Science Extended Care Inpatient (Medicare Part B Only) Late Charge Only
527
Christian Science Extended Care Inpatient (Medicare Part B Only) Replacement of Prior Claim
528
Christian Science Extended Care Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
529
Christian Science Extended Care Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
531
Christian Science Extended Care Outpatient Admit Through Discharge
532
Christian Science Extended Care Outpatient Interim-First Claim
533
Christian Science Extended Care Outpatient Interim-Continuing Claims
534
Christian Science Extended Care Outpatient Interim-Last Claim
535
Christian Science Extended Care Outpatient Late Charge Only
537
Christian Science Extended Care Outpatient Replacement of Prior Claim
538
Christian Science Extended Care Outpatient Void/Cancel of a Prior Claim
539
Christian Science Extended Care Outpatient Final Claim for a Home Health Encounter
541
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
542
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
543
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
544
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
545
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
547
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
548
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
549
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
551
Christian Science Extended Care Nursing Facility Level I Admit Through Discharge
552
Christian Science Extended Care Nursing Facility Level I Interim-First Claim
553
Christian Science Extended Care Nursing Facility Level I Interim-Continuing Claims
554
Christian Science Extended Care Nursing Facility Level I Interim-Last Claim
555
Christian Science Extended Care Nursing Facility Level I Late Charge Only
557
Christian Science Extended Care Nursing Facility Level I Replacement of Prior Claim
558
Christian Science Extended Care Nursing Facility Level I Void/Cancel of a Prior Claim
559
Christian Science Extended Care Nursing Facility Level I Final Claim for a Home Health Encounter
561
Christian Science Extended Care Nursing Facility Level II Admit Through Discharge
562
Christian Science Extended Care Nursing Facility Level II Interim-First Claim
563
Christian Science Extended Care Nursing Facility Level II Interim-Continuing Claims
564
Christian Science Extended Care Nursing Facility Level II Interim-Last Claim
565
Christian Science Extended Care Nursing Facility Level II Late Charge Only
567
Christian Science Extended Care Nursing Facility Level II Replacement of Prior Claim
568
Christian Science Extended Care Nursing Facility Level II Void/Cancel of a Prior Claim
569
Christian Science Extended Care Nursing Facility Level II Final Claim for a Home Health Encounter
571
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Admit Through Discharge
572
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Interim-First Claim
573
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
574
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Interim-Last Claim
575
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Late Charge Only
577
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
578
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
579
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
581
Christian Science Extended Care Swing Beds Admit Through Discharge
582
Christian Science Extended Care Swing Beds Interim-First Claim
583
Christian Science Extended Care Swing Beds Interim-Continuing Claims
584
Christian Science Extended Care Swing Beds Interim-Last Claim
585
Christian Science Extended Care Swing Beds Late Charge Only
587
Christian Science Extended Care Swing Beds Replacement of Prior Claim
588
Christian Science Extended Care Swing Beds Void/Cancel of a Prior Claim
589
Christian Science Extended Care Swing Beds Final Claim for a Home Health Encounter
611
Intermediate Care Inpatient (Including Medicare Part A) Admit Through Discharge
612
Intermediate Care Inpatient (Including Medicare Part A) Interim-First Claim
613
Intermediate Care Inpatient (Including Medicare Part A) Interim-Continuing Claims
614
Intermediate Care Inpatient (Including Medicare Part A) Interim-Last Claim
615
Intermediate Care Inpatient (Including Medicare Part A) Late Charge Only
617
Intermediate Care Inpatient (Including Medicare Part A) Replacement of Prior Claim
618
Intermediate Care Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
619
Intermediate Care Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
621
Intermediate Care Inpatient (Medicare Part B Only) Admit Through Discharge
622
Intermediate Care Inpatient (Medicare Part B Only) Interim-First Claim
623
Intermediate Care Inpatient (Medicare Part B Only) Interim-Continuing Claims
624
Intermediate Care Inpatient (Medicare Part B Only) Interim-Last Claim
625
Intermediate Care Inpatient (Medicare Part B Only) Late Charge Only
627
Intermediate Care Inpatient (Medicare Part B Only) Replacement of Prior Claim
628
Intermediate Care Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
629
Intermediate Care Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
631
Intermediate Care Outpatient Admit Through Discharge
632
Intermediate Care Outpatient Interim-First Claim
633
Intermediate Care Outpatient Interim-Continuing Claims
634
Intermediate Care Outpatient Interim-Last Claim
635
Intermediate Care Outpatient Late Charge Only
637
Intermediate Care Outpatient Replacement of Prior Claim
638
Intermediate Care Outpatient Void/Cancel of a Prior Claim
639
Intermediate Care Outpatient Final Claim for a Home Health Encounter
641
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
642
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
643
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
644
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
645
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
647
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
648
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
649
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
651
Intermediate Care Nursing Facility Level I Admit Through Discharge
652
Intermediate Care Nursing Facility Level I Interim-First Claim
653
Intermediate Care Nursing Facility Level I Interim-Continuing Claims
654
Intermediate Care Nursing Facility Level I Interim-Last Claim
655
Intermediate Care Nursing Facility Level I Late Charge Only
657
Intermediate Care Nursing Facility Level I Replacement of Prior Claim
658
Intermediate Care Nursing Facility Level I Void/Cancel of a Prior Claim
659
Intermediate Care Nursing Facility Level I Final Claim for a Home Health Encounter
661
Intermediate Care Nursing Facility Level II Admit Through Discharge
662
Intermediate Care Nursing Facility Level II Interim-First Claim
663
Intermediate Care Nursing Facility Level II Interim-Continuing Claims
664
Intermediate Care Nursing Facility Level II Interim-Last Claim
665
Intermediate Care Nursing Facility Level II Late Charge Only
667
Intermediate Care Nursing Facility Level II Replacement of Prior Claim
668
Intermediate Care Nursing Facility Level II Void/Cancel of a Prior Claim
669
Intermediate Care Nursing Facility Level II Final Claim for a Home Health Encounter
671
Intermediate Care Intermediate Care -Level III Nursing Facility Admit Through Discharge
672
Intermediate Care Intermediate Care -Level III Nursing Facility Interim-First Claim
673
Intermediate Care Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
674
Intermediate Care Intermediate Care -Level III Nursing Facility Interim-Last Claim
675
Intermediate Care Intermediate Care -Level III Nursing Facility Late Charge Only
677
Intermediate Care Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
678
Intermediate Care Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
679
Intermediate Care Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
681
Intermediate Care Swing Beds Admit Through Discharge
682
Intermediate Care Swing Beds Interim-First Claim
683
Intermediate Care Swing Beds Interim-Continuing Claims
684
Intermediate Care Swing Beds Interim-Last Claim
685
Intermediate Care Swing Beds Late Charge Only
687
Intermediate Care Swing Beds Replacement of Prior Claim
688
Intermediate Care Swing Beds Void/Cancel of a Prior Claim
689
Intermediate Care Swing Beds Final Claim for a Home Health Encounter
711
Clinic Rural Health Admit Through Discharge
712
Clinic Rural Health Interim-First Claim
713
Clinic Rural Health Interim-Continuing Claims
714
Clinic Rural Health Interim-Last Claim
715
Clinic Rural Health Late Charge Only
717
Clinic Rural Health Replacement of Prior Claim
718
Clinic Rural Health Void/Cancel of a Prior Claim
719
Clinic Rural Health Final Claim for a Home Health Encounter
721
Clinic Hospital Based or Independent Renal Dialysis Center Admit Through Discharge
722
Clinic Hospital Based or Independent Renal Dialysis Center Interim-First Claim
723
Clinic Hospital Based or Independent Renal Dialysis Center Interim-Continuing Claims
724
Clinic Hospital Based or Independent Renal Dialysis Center Interim-Last Claim
725
Clinic Hospital Based or Independent Renal Dialysis Center Late Charge Only
727
Clinic Hospital Based or Independent Renal Dialysis Center Replacement of Prior Claim
728
Clinic Hospital Based or Independent Renal Dialysis Center Void/Cancel of a Prior Claim
729
Clinic Hospital Based or Independent Renal Dialysis Center Final Claim for a Home Health Encounter
731
Clinic Free Standing Outpatient Rehabilitation Facility (ORF) Admit Through Discharge
732
Clinic Free Standing Outpatient Rehabilitation Facility (ORF) Interim-First Claim
733
Clinic Free Standing Outpatient Rehabilitation Facility (ORF) Interim-Continuing Claims
734
Clinic Free Standing Outpatient Rehabilitation Facility (ORF) Interim-Last Claim
735
Clinic Free Standing Outpatient Rehabilitation Facility (ORF) Late Charge Only
737
Clinic Free Standing Outpatient Rehabilitation Facility (ORF) Replacement of Prior Claim
738
Clinic Free Standing Outpatient Rehabilitation Facility (ORF) Void/Cancel of a Prior Claim
739
Clinic Free Standing Outpatient Rehabilitation Facility (ORF) Final Claim for a Home Health Encounter
751
Clinic Comprehensive Outpatient Rehabilitation Facilities (CORFs) Admit Through Discharge
752
Clinic Comprehensive Outpatient Rehabilitation Facilities (CORFs) Interim-First Claim
753
Clinic Comprehensive Outpatient Rehabilitation Facilities (CORFs) Interim-Continuing Claims
754
Clinic Comprehensive Outpatient Rehabilitation Facilities (CORFs) Interim-Last Claim
755
Clinic Comprehensive Outpatient Rehabilitation Facilities (CORFs) Late Charge Only
757
Clinic Comprehensive Outpatient Rehabilitation Facilities (CORFs) Replacement of Prior Claim
758
Clinic Comprehensive Outpatient Rehabilitation Facilities (CORFs) Void/Cancel of a Prior Claim
759
Clinic Comprehensive Outpatient Rehabilitation Facilities (CORFs) Final Claim for a Home Health Encounter
761
Clinic Nursing Facility Level II Admit Through Discharge
762
Clinic Nursing Facility Level II Interim-First Claim
763
Clinic Nursing Facility Level II Interim-Continuing Claims
764
Clinic Nursing Facility Level II Interim-Last Claim
765
Clinic Nursing Facility Level II Late Charge Only
767
Clinic Nursing Facility Level II Replacement of Prior Claim
768
Clinic Nursing Facility Level II Void/Cancel of a Prior Claim
769
Clinic Nursing Facility Level II Final Claim for a Home Health Encounter
771
Clinic Community Mental Health Center Admit Through Discharge
772
Clinic Community Mental Health Center Interim-First Claim
773
Clinic Community Mental Health Center Interim-Continuing Claims
774
Clinic Community Mental Health Center Interim-Last Claim
775
Clinic Community Mental Health Center Late Charge Only
777
Clinic Community Mental Health Center Replacement of Prior Claim
778
Clinic Community Mental Health Center Void/Cancel of a Prior Claim
779
Clinic Community Mental Health Center Final Claim for a Home Health Encounter
791
Clinic Other Admit Through Discharge
792
Clinic Other Interim-First Claim
793
Clinic Other Interim-Continuing Claims
794
Clinic Other Interim-Last Claim
795
Clinic Other Late Charge Only
797
Clinic Other Replacement of Prior Claim
798
Clinic Other Void/Cancel of a Prior Claim
799
Clinic Other Final Claim for a Home Health Encounter
811
Special Facility Hospice (Non Hospital Based) Admit Through Discharge
812
Special Facility Hospice (Non Hospital Based) Interim-First Claim
813
Special Facility Hospice (Non Hospital Based) Interim-Continuing Claims
814
Special Facility Hospice (Non Hospital Based) Interim-Last Claim
815
Special Facility Hospice (Non Hospital Based) Late Charge Only
817
Special Facility Hospice (Non Hospital Based) Replacement of Prior Claim
818
Special Facility Hospice (Non Hospital Based) Void/Cancel of a Prior Claim
819
Special Facility Hospice (Non Hospital Based) Final Claim for a Home Health Encounter
821
Special Facility Hospice (Hospital-Based) Admit Through Discharge
822
Special Facility Hospice (Hospital-Based) Interim-First Claim
823
Special Facility Hospice (Hospital-Based) Interim-Continuing Claims
824
Special Facility Hospice (Hospital-Based) Interim-Last Claim
825
Special Facility Hospice (Hospital-Based) Late Charge Only
827
Special Facility Hospice (Hospital-Based) Replacement of Prior Claim
828
Special Facility Hospice (Hospital-Based) Void/Cancel of a Prior Claim
829
Special Facility Hospice (Hospital-Based) Final Claim for a Home Health Encounter
831
Special Facility Ambulatory Surgery Center Admit Through Discharge
832
Special Facility Ambulatory Surgery Center Interim-First Claim
833
Special Facility Ambulatory Surgery Center Interim-Continuing Claims
834
Special Facility Ambulatory Surgery Center Interim-Last Claim
835
Special Facility Ambulatory Surgery Center Late Charge Only
837
Special Facility Ambulatory Surgery Center Replacement of Prior Claim
838
Special Facility Ambulatory Surgery Center Void/Cancel of a Prior Claim
839
Special Facility Ambulatory Surgery Center Final Claim for a Home Health Encounter
841
Special Facility Free Standing Birthing Center Admit Through Discharge
842
Special Facility Free Standing Birthing Center Interim-First Claim
843
Special Facility Free Standing Birthing Center Interim-Continuing Claims
844
Special Facility Free Standing Birthing Center Interim-Last Claim
845
Special Facility Free Standing Birthing Center Late Charge Only
847
Special Facility Free Standing Birthing Center Replacement of Prior Claim
848
Special Facility Free Standing Birthing Center Void/Cancel of a Prior Claim
849
Special Facility Free Standing Birthing Center Final Claim for a Home Health Encounter
891
Special Facility Other Admit Through Discharge
892
Special Facility Other Interim-First Claim
893
Special Facility Other Interim-Continuing Claims
894
Special Facility Other Interim-Last Claim
895
Special Facility Other Late Charge Only
897
Special Facility Other Replacement of Prior Claim
898
Special Facility Other Void/Cancel of a Prior Claim
899
Special Facility Other Final Claim for a Home Health Encounter
[Shared] Name: Type of bill
[Shared] Type: Numeric
[Shared] Length: 3
Codes:
111
Hospital Inpatient (Including Medicare Part A) Admit Through Discharge
112
Hospital Inpatient (Including Medicare Part A) Interim-First Claim
113
Hospital Inpatient (Including Medicare Part A) Interim-Continuing Claims
114
Hospital Inpatient (Including Medicare Part A) Interim-Last Claim
115
Hospital Inpatient (Including Medicare Part A) Late Charge Only
117
Hospital Inpatient (Including Medicare Part A) Replacement of Prior Claim
118
Hospital Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
119
Hospital Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
121
Hospital Inpatient (Medicare Part B Only) Admit Through Discharge
122
Hospital Inpatient (Medicare Part B Only) Interim-First Claim
123
Hospital Inpatient (Medicare Part B Only) Interim-Continuing Claims
124
Hospital Inpatient (Medicare Part B Only) Interim-Last Claim
125
Hospital Inpatient (Medicare Part B Only) Late Charge Only
127
Hospital Inpatient (Medicare Part B Only) Replacement of Prior Claim
128
Hospital Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
129
Hospital Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
131
Hospital Outpatient Admit Through Discharge
132
Hospital Outpatient Interim-First Claim
133
Hospital Outpatient Interim-Continuing Claims
134
Hospital Outpatient Interim-Last Claim
135
Hospital Outpatient Late Charge Only
137
Hospital Outpatient Replacement of Prior Claim
138
Hospital Outpatient Void/Cancel of a Prior Claim
139
Hospital Outpatient Final Claim for a Home Health Encounter
141
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
142
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
143
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
144
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
145
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
147
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
148
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
149
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
151
Hospital Nursing Facility Level I Admit Through Discharge
152
Hospital Nursing Facility Level I Interim-First Claim
153
Hospital Nursing Facility Level I Interim-Continuing Claims
154
Hospital Nursing Facility Level I Interim-Last Claim
155
Hospital Nursing Facility Level I Late Charge Only
157
Hospital Nursing Facility Level I Replacement of Prior Claim
158
Hospital Nursing Facility Level I Void/Cancel of a Prior Claim
159
Hospital Nursing Facility Level I Final Claim for a Home Health Encounter
161
Hospital Nursing Facility Level II Admit Through Discharge
162
Hospital Nursing Facility Level II Interim-First Claim
163
Hospital Nursing Facility Level II Interim-Continuing Claims
164
Hospital Nursing Facility Level II Interim-Last Claim
165
Hospital Nursing Facility Level II Late Charge Only
167
Hospital Nursing Facility Level II Replacement of Prior Claim
168
Hospital Nursing Facility Level II Void/Cancel of a Prior Claim
169
Hospital Nursing Facility Level II Final Claim for a Home Health Encounter
171
Hospital Intermediate Care -Level III Nursing Facility Admit Through Discharge
172
Hospital Intermediate Care -Level III Nursing Facility Interim-First Claim
173
Hospital Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
174
Hospital Intermediate Care -Level III Nursing Facility Interim-Last Claim
175
Hospital Intermediate Care -Level III Nursing Facility Late Charge Only
177
Hospital Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
178
Hospital Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
179
Hospital Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
181
Hospital Swing Beds Admit Through Discharge
182
Hospital Swing Beds Interim-First Claim
183
Hospital Swing Beds Interim-Continuing Claims
184
Hospital Swing Beds Interim-Last Claim
185
Hospital Swing Beds Late Charge Only
187
Hospital Swing Beds Replacement of Prior Claim
188
Hospital Swing Beds Void/Cancel of a Prior Claim
189
Hospital Swing Beds Final Claim for a Home Health Encounter
211
Skilled Nursing Inpatient (Including Medicare Part A) Admit Through Discharge
212
Skilled Nursing Inpatient (Including Medicare Part A) Interim-First Claim
213
Skilled Nursing Inpatient (Including Medicare Part A) Interim-Continuing Claims
214
Skilled Nursing Inpatient (Including Medicare Part A) Interim-Last Claim
215
Skilled Nursing Inpatient (Including Medicare Part A) Late Charge Only
217
Skilled Nursing Inpatient (Including Medicare Part A) Replacement of Prior Claim
218
Skilled Nursing Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
219
Skilled Nursing Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
221
Skilled Nursing Inpatient (Medicare Part B Only) Admit Through Discharge
222
Skilled Nursing Inpatient (Medicare Part B Only) Interim-First Claim
223
Skilled Nursing Inpatient (Medicare Part B Only) Interim-Continuing Claims
224
Skilled Nursing Inpatient (Medicare Part B Only) Interim-Last Claim
225
Skilled Nursing Inpatient (Medicare Part B Only) Late Charge Only
227
Skilled Nursing Inpatient (Medicare Part B Only) Replacement of Prior Claim
228
Skilled Nursing Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
229
Skilled Nursing Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
231
Skilled Nursing Outpatient Admit Through Discharge
232
Skilled Nursing Outpatient Interim-First Claim
233
Skilled Nursing Outpatient Interim-Continuing Claims
234
Skilled Nursing Outpatient Interim-Last Claim
235
Skilled Nursing Outpatient Late Charge Only
237
Skilled Nursing Outpatient Replacement of Prior Claim
238
Skilled Nursing Outpatient Void/Cancel of a Prior Claim
239
Skilled Nursing Outpatient Final Claim for a Home Health Encounter
241
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
242
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
243
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
244
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
245
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
247
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
248
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
249
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
251
Skilled Nursing Nursing Facility Level I Admit Through Discharge
252
Skilled Nursing Nursing Facility Level I Interim-First Claim
253
Skilled Nursing Nursing Facility Level I Interim-Continuing Claims
254
Skilled Nursing Nursing Facility Level I Interim-Last Claim
255
Skilled Nursing Nursing Facility Level I Late Charge Only
257
Skilled Nursing Nursing Facility Level I Replacement of Prior Claim
258
Skilled Nursing Nursing Facility Level I Void/Cancel of a Prior Claim
259
Skilled Nursing Nursing Facility Level I Final Claim for a Home Health Encounter
261
Skilled Nursing Nursing Facility Level II Admit Through Discharge
262
Skilled Nursing Nursing Facility Level II Interim-First Claim
263
Skilled Nursing Nursing Facility Level II Interim-Continuing Claims
264
Skilled Nursing Nursing Facility Level II Interim-Last Claim
265
Skilled Nursing Nursing Facility Level II Late Charge Only
267
Skilled Nursing Nursing Facility Level II Replacement of Prior Claim
268
Skilled Nursing Nursing Facility Level II Void/Cancel of a Prior Claim
269
Skilled Nursing Nursing Facility Level II Final Claim for a Home Health Encounter
271
Skilled Nursing Intermediate Care -Level III Nursing Facility Admit Through Discharge
272
Skilled Nursing Intermediate Care -Level III Nursing Facility Interim-First Claim
273
Skilled Nursing Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
274
Skilled Nursing Intermediate Care -Level III Nursing Facility Interim-Last Claim
275
Skilled Nursing Intermediate Care -Level III Nursing Facility Late Charge Only
277
Skilled Nursing Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
278
Skilled Nursing Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
279
Skilled Nursing Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
281
Skilled Nursing Swing Beds Admit Through Discharge
282
Skilled Nursing Swing Beds Interim-First Claim
283
Skilled Nursing Swing Beds Interim-Continuing Claims
284
Skilled Nursing Swing Beds Interim-Last Claim
285
Skilled Nursing Swing Beds Late Charge Only
287
Skilled Nursing Swing Beds Replacement of Prior Claim
288
Skilled Nursing Swing Beds Void/Cancel of a Prior Claim
289
Skilled Nursing Swing Beds Final Claim for a Home Health Encounter
311
Home Health Inpatient (Including Medicare Part A) Admit Through Discharge
312
Home Health Inpatient (Including Medicare Part A) Interim-First Claim
313
Home Health Inpatient (Including Medicare Part A) Interim-Continuing Claims
314
Home Health Inpatient (Including Medicare Part A) Interim-Last Claim
315
Home Health Inpatient (Including Medicare Part A) Late Charge Only
317
Home Health Inpatient (Including Medicare Part A) Replacement of Prior Claim
318
Home Health Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
319
Home Health Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
321
Home Health Inpatient (Medicare Part B Only) Admit Through Discharge
322
Home Health Inpatient (Medicare Part B Only) Interim-First Claim
323
Home Health Inpatient (Medicare Part B Only) Interim-Continuing Claims
324
Home Health Inpatient (Medicare Part B Only) Interim-Last Claim
325
Home Health Inpatient (Medicare Part B Only) Late Charge Only
327
Home Health Inpatient (Medicare Part B Only) Replacement of Prior Claim
328
Home Health Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
329
Home Health Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
331
Home Health Outpatient Admit Through Discharge
332
Home Health Outpatient Interim-First Claim
333
Home Health Outpatient Interim-Continuing Claims
334
Home Health Outpatient Interim-Last Claim
335
Home Health Outpatient Late Charge Only
337
Home Health Outpatient Replacement of Prior Claim
338
Home Health Outpatient Void/Cancel of a Prior Claim
339
Home Health Outpatient Final Claim for a Home Health Encounter
341
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
342
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
343
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
344
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
345
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
347
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
348
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
349
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
351
Home Health Nursing Facility Level I Admit Through Discharge
352
Home Health Nursing Facility Level I Interim-First Claim
353
Home Health Nursing Facility Level I Interim-Continuing Claims
354
Home Health Nursing Facility Level I Interim-Last Claim
355
Home Health Nursing Facility Level I Late Charge Only
357
Home Health Nursing Facility Level I Replacement of Prior Claim
358
Home Health Nursing Facility Level I Void/Cancel of a Prior Claim
359
Home Health Nursing Facility Level I Final Claim for a Home Health Encounter
361
Home Health Nursing Facility Level II Admit Through Discharge
362
Home Health Nursing Facility Level II Interim-First Claim
363
Home Health Nursing Facility Level II Interim-Continuing Claims
364
Home Health Nursing Facility Level II Interim-Last Claim
365
Home Health Nursing Facility Level II Late Charge Only
367
Home Health Nursing Facility Level II Replacement of Prior Claim
368
Home Health Nursing Facility Level II Void/Cancel of a Prior Claim
369
Home Health Nursing Facility Level II Final Claim for a Home Health Encounter
371
Home Health Intermediate Care -Level III Nursing Facility Admit Through Discharge
372
Home Health Intermediate Care -Level III Nursing Facility Interim-First Claim
373
Home Health Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
374
Home Health Intermediate Care -Level III Nursing Facility Interim-Last Claim
375
Home Health Intermediate Care -Level III Nursing Facility Late Charge Only
377
Home Health Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
378
Home Health Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
379
Home Health Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
381
Home Health Swing Beds Admit Through Discharge
382
Home Health Swing Beds Interim-First Claim
383
Home Health Swing Beds Interim-Continuing Claims
384
Home Health Swing Beds Interim-Last Claim
385
Home Health Swing Beds Late Charge Only
387
Home Health Swing Beds Replacement of Prior Claim
388
Home Health Swing Beds Void/Cancel of a Prior Claim
389
Home Health Swing Beds Final Claim for a Home Health Encounter
411
Christian Science Hospital Inpatient (Including Medicare Part A) Admit Through Discharge
412
Christian Science Hospital Inpatient (Including Medicare Part A) Interim-First Claim
413
Christian Science Hospital Inpatient (Including Medicare Part A) Interim-Continuing Claims
414
Christian Science Hospital Inpatient (Including Medicare Part A) Interim-Last Claim
415
Christian Science Hospital Inpatient (Including Medicare Part A) Late Charge Only
417
Christian Science Hospital Inpatient (Including Medicare Part A) Replacement of Prior Claim
418
Christian Science Hospital Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
419
Christian Science Hospital Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
421
Christian Science Hospital Inpatient (Medicare Part B Only) Admit Through Discharge
422
Christian Science Hospital Inpatient (Medicare Part B Only) Interim-First Claim
423
Christian Science Hospital Inpatient (Medicare Part B Only) Interim-Continuing Claims
424
Christian Science Hospital Inpatient (Medicare Part B Only) Interim-Last Claim
425
Christian Science Hospital Inpatient (Medicare Part B Only) Late Charge Only
427
Christian Science Hospital Inpatient (Medicare Part B Only) Replacement of Prior Claim
428
Christian Science Hospital Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
429
Christian Science Hospital Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
431
Christian Science Hospital Outpatient Admit Through Discharge
432
Christian Science Hospital Outpatient Interim-First Claim
433
Christian Science Hospital Outpatient Interim-Continuing Claims
434
Christian Science Hospital Outpatient Interim-Last Claim
435
Christian Science Hospital Outpatient Late Charge Only
437
Christian Science Hospital Outpatient Replacement of Prior Claim
438
Christian Science Hospital Outpatient Void/Cancel of a Prior Claim
439
Christian Science Hospital Outpatient Final Claim for a Home Health Encounter
441
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
442
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
443
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
444
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
445
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
447
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
448
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
449
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
451
Christian Science Hospital Nursing Facility Level I Admit Through Discharge
452
Christian Science Hospital Nursing Facility Level I Interim-First Claim
453
Christian Science Hospital Nursing Facility Level I Interim-Continuing Claims
454
Christian Science Hospital Nursing Facility Level I Interim-Last Claim
455
Christian Science Hospital Nursing Facility Level I Late Charge Only
457
Christian Science Hospital Nursing Facility Level I Replacement of Prior Claim
458
Christian Science Hospital Nursing Facility Level I Void/Cancel of a Prior Claim
459
Christian Science Hospital Nursing Facility Level I Final Claim for a Home Health Encounter
461
Christian Science Hospital Nursing Facility Level II Admit Through Discharge
462
Christian Science Hospital Nursing Facility Level II Interim-First Claim
463
Christian Science Hospital Nursing Facility Level II Interim-Continuing Claims
464
Christian Science Hospital Nursing Facility Level II Interim-Last Claim
465
Christian Science Hospital Nursing Facility Level II Late Charge Only
467
Christian Science Hospital Nursing Facility Level II Replacement of Prior Claim
468
Christian Science Hospital Nursing Facility Level II Void/Cancel of a Prior Claim
469
Christian Science Hospital Nursing Facility Level II Final Claim for a Home Health Encounter
471
Christian Science Hospital Intermediate Care -Level III Nursing Facility Admit Through Discharge
472
Christian Science Hospital Intermediate Care -Level III Nursing Facility Interim-First Claim
473
Christian Science Hospital Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
474
Christian Science Hospital Intermediate Care -Level III Nursing Facility Interim-Last Claim
475
Christian Science Hospital Intermediate Care -Level III Nursing Facility Late Charge Only
477
Christian Science Hospital Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
478
Christian Science Hospital Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
479
Christian Science Hospital Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
481
Christian Science Hospital Swing Beds Admit Through Discharge
482
Christian Science Hospital Swing Beds Interim-First Claim
483
Christian Science Hospital Swing Beds Interim-Continuing Claims
484
Christian Science Hospital Swing Beds Interim-Last Claim
485
Christian Science Hospital Swing Beds Late Charge Only
487
Christian Science Hospital Swing Beds Replacement of Prior Claim
488
Christian Science Hospital Swing Beds Void/Cancel of a Prior Claim
489
Christian Science Hospital Swing Beds Final Claim for a Home Health Encounter
511
Christian Science Extended Care Inpatient (Including Medicare Part A) Admit Through Discharge
512
Christian Science Extended Care Inpatient (Including Medicare Part A) Interim-First Claim
513
Christian Science Extended Care Inpatient (Including Medicare Part A) Interim-Continuing Claims
514
Christian Science Extended Care Inpatient (Including Medicare Part A) Interim-Last Claim
515
Christian Science Extended Care Inpatient (Including Medicare Part A) Late Charge Only
517
Christian Science Extended Care Inpatient (Including Medicare Part A) Replacement of Prior Claim
518
Christian Science Extended Care Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
519
Christian Science Extended Care Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
521
Christian Science Extended Care Inpatient (Medicare Part B Only) Admit Through Discharge
522
Christian Science Extended Care Inpatient (Medicare Part B Only) Interim-First Claim
523
Christian Science Extended Care Inpatient (Medicare Part B Only) Interim-Continuing Claims
524
Christian Science Extended Care Inpatient (Medicare Part B Only) Interim-Last Claim
525
Christian Science Extended Care Inpatient (Medicare Part B Only) Late Charge Only
527
Christian Science Extended Care Inpatient (Medicare Part B Only) Replacement of Prior Claim
528
Christian Science Extended Care Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
529
Christian Science Extended Care Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
531
Christian Science Extended Care Outpatient Admit Through Discharge
532
Christian Science Extended Care Outpatient Interim-First Claim
533
Christian Science Extended Care Outpatient Interim-Continuing Claims
534
Christian Science Extended Care Outpatient Interim-Last Claim
535
Christian Science Extended Care Outpatient Late Charge Only
537
Christian Science Extended Care Outpatient Replacement of Prior Claim
538
Christian Science Extended Care Outpatient Void/Cancel of a Prior Claim
539
Christian Science Extended Care Outpatient Final Claim for a Home Health Encounter
541
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
542
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
543
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
544
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
545
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
547
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
548
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
549
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
551
Christian Science Extended Care Nursing Facility Level I Admit Through Discharge
552
Christian Science Extended Care Nursing Facility Level I Interim-First Claim
553
Christian Science Extended Care Nursing Facility Level I Interim-Continuing Claims
554
Christian Science Extended Care Nursing Facility Level I Interim-Last Claim
555
Christian Science Extended Care Nursing Facility Level I Late Charge Only
557
Christian Science Extended Care Nursing Facility Level I Replacement of Prior Claim
558
Christian Science Extended Care Nursing Facility Level I Void/Cancel of a Prior Claim
559
Christian Science Extended Care Nursing Facility Level I Final Claim for a Home Health Encounter
561
Christian Science Extended Care Nursing Facility Level II Admit Through Discharge
562
Christian Science Extended Care Nursing Facility Level II Interim-First Claim
563
Christian Science Extended Care Nursing Facility Level II Interim-Continuing Claims
564
Christian Science Extended Care Nursing Facility Level II Interim-Last Claim
565
Christian Science Extended Care Nursing Facility Level II Late Charge Only
567
Christian Science Extended Care Nursing Facility Level II Replacement of Prior Claim
568
Christian Science Extended Care Nursing Facility Level II Void/Cancel of a Prior Claim
569
Christian Science Extended Care Nursing Facility Level II Final Claim for a Home Health Encounter
571
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Admit Through Discharge
572
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Interim-First Claim
573
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
574
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Interim-Last Claim
575
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Late Charge Only
577
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
578
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
579
Christian Science Extended Care Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
581
Christian Science Extended Care Swing Beds Admit Through Discharge
582
Christian Science Extended Care Swing Beds Interim-First Claim
583
Christian Science Extended Care Swing Beds Interim-Continuing Claims
584
Christian Science Extended Care Swing Beds Interim-Last Claim
585
Christian Science Extended Care Swing Beds Late Charge Only
587
Christian Science Extended Care Swing Beds Replacement of Prior Claim
588
Christian Science Extended Care Swing Beds Void/Cancel of a Prior Claim
589
Christian Science Extended Care Swing Beds Final Claim for a Home Health Encounter
611
Intermediate Care Inpatient (Including Medicare Part A) Admit Through Discharge
612
Intermediate Care Inpatient (Including Medicare Part A) Interim-First Claim
613
Intermediate Care Inpatient (Including Medicare Part A) Interim-Continuing Claims
614
Intermediate Care Inpatient (Including Medicare Part A) Interim-Last Claim
615
Intermediate Care Inpatient (Including Medicare Part A) Late Charge Only
617
Intermediate Care Inpatient (Including Medicare Part A) Replacement of Prior Claim
618
Intermediate Care Inpatient (Including Medicare Part A) Void/Cancel of a Prior Claim
619
Intermediate Care Inpatient (Including Medicare Part A) Final Claim for a Home Health Encounter
621
Intermediate Care Inpatient (Medicare Part B Only) Admit Through Discharge
622
Intermediate Care Inpatient (Medicare Part B Only) Interim-First Claim
623
Intermediate Care Inpatient (Medicare Part B Only) Interim-Continuing Claims
624
Intermediate Care Inpatient (Medicare Part B Only) Interim-Last Claim
625
Intermediate Care Inpatient (Medicare Part B Only) Late Charge Only
627
Intermediate Care Inpatient (Medicare Part B Only) Replacement of Prior Claim
628
Intermediate Care Inpatient (Medicare Part B Only) Void/Cancel of a Prior Claim
629
Intermediate Care Inpatient (Medicare Part B Only) Final Claim for a Home Health Encounter
631
Intermediate Care Outpatient Admit Through Discharge
632
Intermediate Care Outpatient Interim-First Claim
633
Intermediate Care Outpatient Interim-Continuing Claims
634
Intermediate Care Outpatient Interim-Last Claim
635
Intermediate Care Outpatient Late Charge Only
637
Intermediate Care Outpatient Replacement of Prior Claim
638
Intermediate Care Outpatient Void/Cancel of a Prior Claim
639
Intermediate Care Outpatient Final Claim for a Home Health Encounter
641
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Admit Through Discharge
642
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-First Claim
643
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Continuing Claims
644
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Interim-Last Claim
645
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Late Charge Only
647
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Replacement of Prior Claim
648
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Void/Cancel of a Prior Claim
649
Intermediate Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) Final Claim for a Home Health Encounter
651
Intermediate Care Nursing Facility Level I Admit Through Discharge
652
Intermediate Care Nursing Facility Level I Interim-First Claim
653
Intermediate Care Nursing Facility Level I Interim-Continuing Claims
654
Intermediate Care Nursing Facility Level I Interim-Last Claim
655
Intermediate Care Nursing Facility Level I Late Charge Only
657
Intermediate Care Nursing Facility Level I Replacement of Prior Claim
658
Intermediate Care Nursing Facility Level I Void/Cancel of a Prior Claim
659
Intermediate Care Nursing Facility Level I Final Claim for a Home Health Encounter
661
Intermediate Care Nursing Facility Level II Admit Through Discharge
662
Intermediate Care Nursing Facility Level II Interim-First Claim
663
Intermediate Care Nursing Facility Level II Interim-Continuing Claims
664
Intermediate Care Nursing Facility Level II Interim-Last Claim
665
Intermediate Care Nursing Facility Level II Late Charge Only
667
Intermediate Care Nursing Facility Level II Replacement of Prior Claim
668
Intermediate Care Nursing Facility Level II Void/Cancel of a Prior Claim
669
Intermediate Care Nursing Facility Level II Final Claim for a Home Health Encounter
671
Intermediate Care Intermediate Care -Level III Nursing Facility Admit Through Discharge
672
Intermediate Care Intermediate Care -Level III Nursing Facility Interim-First Claim
673
Intermediate Care Intermediate Care -Level III Nursing Facility Interim-Continuing Claims
674
Intermediate Care Intermediate Care -Level III Nursing Facility Interim-Last Claim
675
Intermediate Care Intermediate Care -Level III Nursing Facility Late Charge Only
677
Intermediate Care Intermediate Care -Level III Nursing Facility Replacement of Prior Claim
678
Intermediate Care Intermediate Care -Level III Nursing Facility Void/Cancel of a Prior Claim
679
Intermediate Care Intermediate Care -Level III Nursing Facility Final Claim for a Home Health Encounter
681
Intermediate Care Swing Beds Admit Through Discharge
682
Intermediate Care Swing Beds Interim-First Claim
683
Intermediate Care Swing Beds Interim-Continuing Claims
684
Intermediate Care Swing Beds Interim-Last Claim
685
Intermediate Care Swing Beds Late Charge Only
687
Intermediate Care Swing Beds Replacement of Prior Claim
688
Intermediate Care Swing Beds Void/Cancel of a Prior Claim
689
Intermediate Care Swing Beds Final Claim for a Home Health Encounter
711
Clinic Rural Health Admit Through Discharge
712
Clinic Rural Health Interim-First Claim
713
Clinic Rural Health Interim-Continuing Claims
714
Clinic Rural Health Interim-Last Claim
715
Clinic Rural Health Late Charge Only
717
Clinic Rural Health Replacement of Prior Claim
718
Clinic Rural Health Void/Cancel of a Prior Claim
719
Clinic Rural Health Final Claim for a Home Health Encounter
721
Clinic Hospital Based or Independent Renal Dialysis Center Admit Through Discharge
722
Clinic Hospital Based or Independent Renal Dialysis Center Interim-First Claim
723
Clinic Hospital Based or Independent Renal Dialysis Center Interim-Continuing Claims
724
Clinic Hospital Based or Independent Renal Dialysis Center Interim-Last Claim
725
Clinic Hospital Based or Independent Renal Dialysis Center Late Charge Only
727
Clinic Hospital Based or Independent Renal Dialysis Center Replacement of Prior Claim
728
Clinic Hospital Based or Independent Renal Dialysis Center Void/Cancel of a Prior Claim
729
Clinic Hospital Based or Independent Renal Dialysis Center Final Claim for a Home Health Encounter
731
Clinic Free Standing Outpatient Rehabilitation Facility (ORF) Admit Through Discharge
732
Clinic Free Standing Outpatient Rehabilitation Facility (ORF) Interim-First Claim
733
Clinic Free Standing Outpatient Rehabilitation Facility (ORF) Interim-Continuing Claims