United States Health Information Knowledgebase

 

Health Care Service: Data Reporting Guide

The Health Care Service: Data Reporting Guide (HCSDRG), an ASC X12 specification based on the HIPAA adopted Health Care Claim: Institutional (837), supports state and federal public health reporting requirements. The source of the data content is from the ASC X12 standards, UB-04, the National Committee on Vital and Health Statistics core data set, as well as some state specific public health reporting requirements.

The Gap Assist tool Exit Disclaimer, jointly developed with Washington Publishing Company, with support from the Centers for Disease Control and Prevention/National Center for Health Statistics, provides a metadata perspective on the format and content attributes of each data element supported by the HCSDRG. The Gap Assist tool also provides a view across multiple versions of the ASC X12 standards and a map to the various standards previously named.

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Submitter Information
WPC Submitter Last or Organization Name
WPC Submitter Identifier
WPC Communication Number
WPC Communication Number
WPC Transaction Set Creation Date
WPC Claim Transaction Batch Number
Receiver Information
WPC Data Receiver Name
WPC Information Receiver Identification Number
Provider Information
WPC Service Provider Last or Organization Name
WPC Service Provider Identifier
Patient Information
WPC Patient Last Name
WPC Patient First Name
WPC Patient Middle Name or Initial
WPC Patient Control Number
WPC Medical Record Number
WPC Patient Secondary Identifier
WPC Marital Status Code
WPC Race or Ethnicity Code
WPC Race or Ethnicity Code
WPC Language Code
WPC Patient Address Line
WPC Patient Address Line
WPC Patient City Name
WPC Location Identification Code
WPC Patient State Code
WPC Patient Postal Zone or ZIP Code
WPC Patient Gender Code
WPC Patient Birth Date
WPC Value Code
Value Code Amount
WPC Mother's Medical Record Number
WPC Patient Responsibility Amount
Claim Information
WPC Admission Type Code
WPC Admission Source Code
WPC Admission Date/Hour or Start of Care Date
WPC Admission Date/Hour or Start of Care Date
WPCOriginal Claim Creation Date
WPC Statement To and From Date
WPC Statement From and To Date
WPC Service Date
WPC Statement From and To Date
WPC Discharge Hour
WPC Patient Status Code
WPC Facility Type Code
WPC Claim Frequency Code
WPC Occurrence Code
Accident Date
WPC Auto Accident State or Province Code
WPCNorth American Industry Codes
WPC Occurrence Span Code
Occurrence Span Code Date
WPC Occurrence Span Code
Occurrence Span Code Date
WPC Condition Code
WPC Condition Code
WPC Condition Code
WPC Condition Code
WPC Condition Code
WPC Condition Code
WPC Condition Code
WPC Condition Code
WPC Value Code
Value Code Amount
WPC Value Code
Value Code Amount
WPC Value Code
Value Code Amount
WPC Value Code
Value Code Amount
WPCStandard Occupation Classification System Codes
Insurance Information
WPC Claim Filing Indicator Code
WPC Payer Identifier
WPC Policy or Contract Number
WPC Value Code
Value Code Amount
WPC Value Code
Value Code Amount
WPC Estimated Claim Due Amount
WPC Payer Paid Amount
WPCSource of Payment Typology
Service Line Information
WPC Service Line Revenue Code
WPC Service Unit Count
WPC Service Unit Count
WPC Line Item Charge Amount
WPC Line Item Denied Charge or Non-Covered Charge Amount
WPC Service Line Revenue Code
WPC Service Unit Count
WPC Line Item Charge Amount
WPC Line Item Denied Charge or Non-Covered Charge Amount
WPC Total Claim Charge Amount
WPC Procedure Code
WPC Procedure Modifier
WPC Procedure Modifier
WPC Procedure Modifier
WPC Procedure Modifier
Drug Information - Line Level Detail
WPC National Drug Code
WPC National Drug Unit Count
WPC Prescription Number
Physician Information - Line Level Detail
WPC Operating Physician Primary Identifier
WPC Other Operating Physician Identifier
Medical Information
WPC Principal Diagnosis Code
WPC Present on Admission Indicator
WPC Other Diagnosis
WPC Present on Admission Indicator
WPC Principal Procedure Code
WPC Principal Procedure Date
WPC Procedure Code
WPC Procedure Date
WPC Admitting Diagnosis Code
WPC Patient Reason for Visit
WPC External Cause of Injury Code
WPC Present on Admission Indicator
WPC Diagnosis Related Group (DRG) Code
Physician Information
WPC Attending Provider Primary Identifier
WPC Operating Physician Primary Identifier
WPC Other Operating Physician Identifier
WPC Rendering Provider Identifier
WPC Referring Provider Identifier
WPC Referring Provider Identifier
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