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 , 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.
Submitter Information | |
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Submitter Last or Organization Name |
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Submitter Identifier |
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Communication Number |
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Communication Number |
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Transaction Set Creation Date |
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Claim Transaction Batch Number |
Receiver Information | |
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Data Receiver Name |
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Information Receiver Identification Number |
Provider Information | |
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Service Provider Last or Organization Name |
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Service Provider Identifier |
Insurance Information | |
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Claim Filing Indicator Code |
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Payer Identifier |
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Policy or Contract Number |
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Value Code |
Value Code Amount | |
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Value Code |
Value Code Amount | |
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Estimated Claim Due Amount |
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Payer Paid Amount |
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Drug Information - Line Level Detail | |
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National Drug Code |
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National Drug Unit Count |
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Prescription Number |
Physician Information - Line Level Detail | |
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Operating Physician Primary Identifier |
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Other Operating Physician Identifier |