Segment: CLM
Loop: 2300 Segment: CLM
Element: CLM01 (Claim Submitters Identifier (Claim ID) Size Limit 20
Hard coded
Element: CLM02 (Claim Monetary Amount)
Calculated from SUM (charge*units)
Element: CLM05-1 (Claim Facility Code Value)
Tools->Manage Facilities->Place of Service
Element: CLM05-2 (Claim Facility Code Qualifier)
Hard Coded to 'B'
Element: CLM05-3 (Claim Frequency Type Code)
Billing->Claims Manager->Submission Type
Element: CLM06 (Claim Provider Signature Indicator)
Tools->Provider Manager->Signature tab (Y' if signature exists)
Element: CLM07 (Claim Provider Accept Assignment)
Billing->Patient Account->Claims tab->More Info->Accept Assignment
Element: CLM08 (Claim Provider Benefits Assignment Certification)
Billing->Patient Account->Claims tab->More Info->Accept Assignment (Primary and Secondary)
Element: CLM09 (Claim Release of Information Code)
Billing->Patient Account->Claims tab->More Info->Release of Information Signature (Primary and Secondary)
Element: CLM10 (Claim Patient Signature Source Code)
Billing->Patient Account->Claims tab->More Info->Signature Executed for Patient (Primary and Secondary)
Element: CLM11-1 (Claim Related-Cause Code)
Billing->Patient Account->Claims tab->More Info->Type
Element: CLM11-2 (Claim Related-Cause Code 2)
Billing->Patient Account->Claims tab->More Info->Type 2 (837p allows for two types, CMS 1500 allows for one and will use the first selected)
Element: CLM11-4 (Claim Related-Cause State)
Billing->Patient Account->Claims tab->More Info->State
Element: CLM11-5 (Claim Related-Cause Country Code) Not Implemented
Billing->Patient Account->Claims tab->More Info->Country Code
Element: CLM12 (Claim Special Program Code)
Billing->Patient Account->Claims tab->More Info->Special Program
Element: CLM20 (Claim Delay Reason Code)
Billing->Patient Account->Claims tab->More Info->Delay Reason