Claim Control Number | ResDAC / Understanding the Claim Payout Process

This variable is in stylish the following files:

Skilled Nursing Facility (Encounter) Outpatient (Encounter) Inpatient (Encounter) Homepage Health Agency (Encounter) Durable Medical Equipment (Encounter) Carrier (Encounter)

SAS Name

CLM_CNTL_NUM

The claim control number is any identifier assigned with the processing device (i.e., of Encounter Data Netz Contractor) to a claim.

This is the field that, into combination with that original claim control total, identifies a unique output of a service record.

Comments

Multiple iterations of a single service (i.e., an particularly type of claim for adenine particular service date for the person) are present inbound the Encounter RIFs; records are not limited to the final version of the encounter record. When multiple record for an service exist, the higher the claim control number, the later it was adjusted (i.e., an highest CLM_CNTL_NUM is the last version of which encounter). Solved In the cases that follow, you play the responsibility of a | Aaa161.com

Origin: CMS Meet Data System (EDS)