|
Total
|
integer |
The total number of claim payment loops (2100) |
|
MissingClaimPaymentId
|
integer |
The number of claim payments missing a patient control number (CLP01) |
|
MissingClaimStatusCode
|
integer |
The number of claim payments missing a claim status code (CLP02) |
|
MissingChargedAmount
|
integer |
The number of claim payments missing a total charge amount (CLP03) |
|
MissingPaidAmount
|
integer |
The number of claim payments missing a paid amount (CLP04) |
|
MissingClaimStartDate
|
integer |
The number of claim payments where no usable start date can be derived from claim-level (DTM*232) or service-level (DTM*150, DTM*472) date segments |
|
MissingClaimEndDate
|
integer |
The number of claim payments where no usable end date can be derived from claim-level (DTM*233) or service-level (DTM*151, DTM*472) date segments |
|
MissingPayerClaimControlNumber
|
integer |
The number of claim payments missing a payer claim control number (CLP07 or REF*F8) |
|
MissingRenderingProvider
|
integer |
The number of claim payments missing a rendering provider identifier (NM1*82 NM109) |
|
ClaimsWithServicePayments
|
integer |
The number of claim payments that have at least one service payment loop (2110) |
|
ClaimsWithoutServicePayments
|
integer |
The number of claim payments that have no service payment loops (2110) |
|
ByClaimStatusCode
|
quantity |
A frequency distribution of claim payment status codes (CLP02). Each entry represents a distinct CLP02 value and the count of claim payments having that value. All values for a single document can be used to construct a histogram. |
|
ByClaimDateSource
|
quantity |
A frequency distribution of claim-date source patterns for claim payments. Values are ClaimLevel (claim-level DTM*232 or DTM*233 present), Service plus qualifier pattern (for example, Service150|472 from service-level DTM*150, DTM*151, and DTM*472), or ServiceMixed when multiple service-level qualifier patterns are present. Claim-level dates are evaluated first, then service-level dates as fallback. All values for a single document can be used to construct a histogram. |
