|
Total
|
integer |
The total number of claim loops (2300) |
|
MissingClaimId
|
integer |
The number of claims missing a patient control number (CLM01) |
|
MissingClaimAmount
|
integer |
The number of claims missing a total claim charge amount (CLM02) |
|
MissingPlaceOfService
|
integer |
The number of claims missing a place of service code (CLM05-01) |
|
MissingDiagnosisCodes
|
integer |
The number of claims with no diagnosis codes in any HI segment |
|
MissingClaimDate
|
integer |
The number of claims with no usable DTP date segments |
|
MissingRenderingProvider
|
integer |
The number of claims missing a rendering provider in loop 2310B |
|
ClaimsWithInvalidDiagnosisPointers
|
integer |
The number of claims that have service lines with diagnosis pointers referencing non-existent diagnosis codes |
|
MissingClaimStatementFromDate434
|
integer |
The number of claims missing a statement from date (DTP qualifier 434) |
|
MissingClaimStatementThroughDate435
|
integer |
The number of claims missing a statement through date (DTP qualifier 435) |
|
TotalUniqueRenderingProviderIds
|
integer |
The number of distinct rendering provider identifiers across all claims and service lines |
|
ByPlaceOfService
|
quantity |
A frequency distribution of place of service codes (CLM05-01) across claims. Each entry represents a distinct place of service code and the count of claims having that value. All values for a single document can be used to construct a histogram. |
|
ByClaimDateQualifier
|
quantity |
A frequency distribution of DTP date qualifiers across all claim-level DTP segments. Each entry represents a distinct DTP01 qualifier and the count of segments having that value. All values for a single document can be used to construct a histogram. |
|
ByPayerId
|
quantity |
A frequency distribution of payer identifiers (2010BB NM109) across claims. Each entry represents a distinct payer identifier and the count of claims having that value. All values for a single document can be used to construct a histogram. |
|
ByBillingProviderId
|
quantity |
A frequency distribution of billing provider identifiers (2010AA NM109) across claims. Each entry represents a distinct billing provider identifier and the count of claims having that value. All values for a single document can be used to construct a histogram. |
