PD_x12 1.3.2 → 1.3.11
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- data/README.md +6 -0
- data/init.rb +1 -0
- data/lib/x12.rb +1 -0
- data/lib/x12/base.rb +1 -0
- data/lib/x12/loop.rb +8 -0
- data/lib/x12/parser.rb +3 -7
- data/lib/x12/version.rb +1 -1
- data/lib/x12/xmldefinitions.rb +34 -18
- data/misc/837p.xml +203 -199
- data/misc/997.xml +7 -2
- data/misc/999.xml +53 -0
- data/misc/AK1.xml +1 -0
- data/misc/AK2.xml +1 -0
- data/misc/C998.xml +29 -0
- data/misc/C999.xml +29 -0
- data/misc/CLM.xml +11 -11
- data/misc/CTX.xml +33 -0
- data/misc/IK3.xml +30 -0
- data/misc/IK4.xml +30 -0
- data/misc/IK5.xml +32 -0
- data/misc/PAT.xml +9 -9
- data/misc/T618.xml +50 -0
- data/misc/T620.xml +39 -0
- data/misc/T621.xml +39 -0
- data/misc/T723.xml +8 -3
- data/test/tc_parse_999.rb +77 -0
- data/test/{tc_parse_270interchange.rb → xc_parse_270interchange.rb} +1 -1
- data/test/{tc_parse_837p.rb → xc_parse_837p.rb} +1 -1
- data/test/{tc_parse_997.rb → xc_parse_997.rb} +1 -0
- data/test/{tc_factory_270.rb → xtc_factory_270.rb} +0 -0
- data/test/{tc_factory_270interchange.rb → xtc_factory_270interchange.rb} +0 -0
- data/test/{tc_factory_837p.rb → xtc_factory_837p.rb} +1 -1
- data/test/{tc_factory_997.rb → xtc_factory_997.rb} +4 -0
- data/test/xtc_factory_999.rb +128 -0
- data/test/{tc_parse_270.rb → xtc_parse_270.rb} +1 -1
- data/test/{tc_parse_835.rb → xtc_parse_835.rb} +0 -1
- metadata +35 -20
data/README.md
CHANGED
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@@ -34,6 +34,8 @@ Or install it yourself as:
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$ gem install PD_x12
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To initialize in Rails 3.2 application, in your config/initializers directory, create a file called x12.rb and add the line: require 'x12' to it.
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## Documentation
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### Wiki Page: https://github.com/mjpete3/x12/wiki
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@@ -54,6 +56,10 @@ The authors of the project were inspired by the following works:
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# Change Log
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1/26/13 - relesase 1.3.6
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* changed the referencing of the misc directory so that local copies of the xml definitions are not required
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* added an init.rb file in the root
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12/2/12 - release 1.3.2
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* Added the 835 transaction
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data/init.rb
ADDED
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require 'x12'
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data/lib/x12.rb
CHANGED
data/lib/x12/base.rb
CHANGED
data/lib/x12/loop.rb
CHANGED
data/lib/x12/parser.rb
CHANGED
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@@ -56,18 +56,14 @@ module X12
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# Deal with Microsoft devices
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# get the current working directory
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@dir_name = Dir.pwd + "/misc/"
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file_name = @dir_name + file_name
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base_name = File.basename(file_name, '.xml')
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if MS_DEVICES.find{|i| i == base_name}
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file_name = File.join(File.dirname, "#{base_name}_.xml")
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end
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file_location = File.join(File.dirname(__FILE__), "../../misc", file_name)
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# Read and parse the definition
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str = File.open(
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str = File.open(file_location, 'r').read
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#@dir_name = File.dirname(File.expand_path(file_name)) # to look up other files if needed
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@x12_definition = X12::XMLDefinitions.new(str)
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data/lib/x12/version.rb
CHANGED
data/lib/x12/xmldefinitions.rb
CHANGED
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# Parse definitions out of XML file
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def initialize(str)
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doc = REXML::Document.new(str)
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definitions = doc.root.name =~ /^Definition$/i ? doc.root.elements.to_a : [doc.root]
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definitions = doc.root.name =~ /^Definition$/i ? doc.root.elements.to_a : [doc.root]
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definitions.each { |element|
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#puts element.name
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syntax_element = case element.name
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when /table/i
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when /
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when /table/i
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parse_table(element)
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when /segment/i
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parse_segment(element)
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when /composite/i
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parse_composite(element)
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when /loop/i
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parse_loop(element)
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end
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self[syntax_element.class] ||= {}
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self[syntax_element.class][syntax_element.name]=syntax_element
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}
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def parse_boolean(s)
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return case s
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when nil
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when
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when nil
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false
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when ""
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false
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when /(^y(es)?$)|(^t(rue)?$)|(^1$)/i
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true
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when /(^no?$)|(^f(alse)?$)|(^0$)/i
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false
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else
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nil
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end # case
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def parse_type(s)
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return case s
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when nil
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when /^
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when /^
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when nil
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'string'
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when /^C.+$/
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s
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when /^i(nt(eger)?)?$/i
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'int'
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when /^l(ong)?$/i
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'long'
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when /^d(ouble)?$/i
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'double'
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when /^s(tr(ing)?)?$/i
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'string'
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else
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nil
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end # case
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components = e.elements.to_a.inject([]){|r, element|
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r << case element.name
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when /loop/i
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when /loop/i
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parse_loop(element)
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when /segment/i
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parse_segment(element)
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else
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throw Exception.new("Cannot recognize syntax for: #{element.inspect} in loop #{e.inspect}")
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end # case
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data/misc/837p.xml
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<Segment name="HL" max="1" required="y" comment="Billing provider hierarchical level"/>
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<Segment name="PRV" max="1" required="n" comment="Billing provider specialty information"/>
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<Segment name="CUR" max="1" required="n" comment="Foreign currency information"/>
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<Loop name="L2010AA" max="1" required="y">
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<Segment name="NM1" max="1" required="y" comment="Billing provider name"/>
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<Segment name="N3" max="1" required="y" comment="Billing provider address"/>
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<Segment name="N4" max="1" required="y" comment="Billing provider city/state/zip code"/>
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<Segment name="REF" max="1" required="y" comment="Billing provider tax id"/>
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<Segment name="REF" max="2" required="n" comment="Billing provider upin/license information"/>
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<Segment name="PER" max="2" required="n" comment="Billing provider contact information"/>
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</Loop>
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<Loop name="L2010AB" max="1" required="n">
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<Segment name="NM1" max="1" required="y" comment="Pay-to address name"/>
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<Segment name="N3" max="1" required="y" comment="Pay-to provider address"/>
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<Segment name="N4" max="1" required="y" comment="Pay-to provider city/state/zip code"/>
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</Loop>
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<Loop name="L2010AC" max="1" required="n">
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<Segment name="NM1" max="1" required="y" comment="Pay-to plan name"/>
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<Segment name="N3" max="1" required="y" comment="Pay-to plan address"/>
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<Segment name="N4" max="1" required="y" comment="Pay-to plan city/state/zip code"/>
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<Segment name="REF" max="1" required="n" comment="Pay-to plan secondary id"/>
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<Segment name="REF" max="1" required="y" comment="Pay-to plan tax id"/>
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</Loop>
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<Loop name="L2000B" required="y">
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<Segment name="HL" max="1" required="y" comment="Subscriber heiarchical level"/>
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<Segment name="SBR" max="1" required="y" comment="subscriber information"/>
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<Segment name="PAT" max="1" required="n" comment="Patient information"/>
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<Loop name="L2010BA" max="1" required="y">
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<Segment name="NM1" max="1" required="y" comment="Subscriber name"/>
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<Segment name="N3" max="1" required="n" comment="Subscriber address"/>
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<Segment name="N4" max="1" required="n" comment="Subscriber city/state/zip"/>
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<Segment name="DMG" max="1" required="n" comment="Subscriber demographic information"/>
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<Segment name="REF" max="2" required="n"/>
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<Segment name="PER" max="1" required="n" comment="Property and casualty subscriber contact information"/>
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</Loop>
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|
+
<Loop name="L2010BB" max="1" required="y">
|
|
79
|
+
<Segment name="NM1" max="1" required="y" comment="Payer name"/>
|
|
80
|
+
<Segment name="N3" max="1" required="n" comment="Payer address"/>
|
|
81
|
+
<Segment name="N4" max="1" required="n" comment="Payer city/state/zip code"/>
|
|
82
|
+
<Segment name="REF" max="5" required="n" />
|
|
83
|
+
</Loop>
|
|
84
|
+
|
|
85
|
+
<Loop name="L2000C" required="n">
|
|
86
|
+
<Segment name="HL" required="y" comment="Patient heirarchical level"/>
|
|
87
|
+
<Segment name="PAT" required="y" comment="Patient information"/>
|
|
88
|
+
<Loop name="L2010CA" max="1" required="n">
|
|
89
|
+
<Segment name="NM1" max="1" required="y" comment="Patient name"/>
|
|
90
|
+
<Segment name="N3" max="1" required="y" comment="Patient address"/>
|
|
91
|
+
<Segment name="N4" max="1" required="y" comment="Patient city/state/zip"/>
|
|
92
|
+
<Segment name="DMG" max="1" required="y" comment="Patient demographic information"/>
|
|
93
|
+
<Segment name="REF" max="1" required="n" comment="Property and casualty claim number"/>
|
|
94
|
+
<Segment name="PER" max="1" required="n" comment="Property and casualty subscriber contact information"/>
|
|
95
|
+
</Loop>
|
|
96
|
+
</Loop>
|
|
97
|
+
<Loop name="L2300" max="100" required="y">
|
|
98
|
+
<Segment name="CLM" max="1" required="y" comment="Claim information"/>
|
|
99
|
+
<Segment name="DTP" max="16" required="n" comment="Claim Dates. Up to 16 different dates can be set for a 837p" />
|
|
100
|
+
<Segment name="PWK" max="10" required="n" comment="Claim supplemental information" />
|
|
101
|
+
<Segment name="CN1" max="1" required="n" comment="Contract information" />
|
|
102
|
+
<Segment name="AMT" max="1" required="n" comment="Patient amount paid" />
|
|
103
|
+
<Segment name="REF" max="14" required="n" comment="Claim References. Up to 14 different claim references can be set for a 837p" />
|
|
104
|
+
<Segment name="K3" max="10" required="n" comment="File information" />
|
|
105
|
+
<Segment name="NTE" max="1" required="n" comment="Claim note" />
|
|
106
|
+
<Segment name="CR1" max="1" required="n" comment="Ambulance transport information" />
|
|
107
|
+
<Segment name="CR2" max="1" required="n" comment="Spinal manipulation service information" />
|
|
108
|
+
<Segment name="CRC" max="8" required="n" comment="Code Category. Up to 8 different CRC categories can be set for an 837p" />
|
|
109
|
+
<Segment name="HI" max="1" required="y" comment="Healthcare diagnostic code" />
|
|
110
|
+
<Segment name="HI" max="1" required="n" comment="Anesthesia related procedure code" />
|
|
111
|
+
<Segment name="HI" max="2" required="n" comment="Condition information" />
|
|
112
|
+
<Segment name="HCP" max="1" required="n" comment="Claim pricing / repricing information" />
|
|
113
|
+
|
|
114
|
+
<Loop name="L2310A" max="1" required="n">
|
|
115
|
+
<Segment name="NM1" max="1" required="y" comment="Referring provider name"/>
|
|
116
|
+
<Segment name="REF" max="3" required="n" comment="Referring provider secondary id"/>
|
|
117
|
+
</Loop>
|
|
118
|
+
<Loop name="L2310B" max="1" required="n">
|
|
119
|
+
<Segment name="NM1" max="1" required="n" comment="Rendering provider name"/>
|
|
120
|
+
<Segment name="PRV" max="1" required="n" comment="Rendering provider specialty information"/>
|
|
121
|
+
<Segment name="REF" max="4" required="n" comment="Rendering provider secondary id"/>
|
|
122
|
+
</Loop>
|
|
123
|
+
<Loop name="L2310C" required="n">
|
|
124
|
+
<Segment name="NM1" max="1" required="y" comment="Service facility location"/>
|
|
125
|
+
<Segment name="N3" max="1" required="y" comment="Service facility address"/>
|
|
126
|
+
<Segment name="N4" max="1" required="y" comment="Service facility city/state/zip"/>
|
|
127
|
+
<Segment name="REF" max="3" required="n" comment="Service facility location secondary id"/>
|
|
128
|
+
<Segment name="PER" max="1" required="y" comment="Service facility contact information"/>
|
|
129
|
+
</Loop>
|
|
130
|
+
<Loop name="L2310D" max="1" required="n">
|
|
131
|
+
<Segment name="NM1" max="1" required="n" comment="Supervising provider name"/>
|
|
132
|
+
<Segment name="REF" max="4" required="n" comment="Supervising provider secondary id"/>
|
|
133
|
+
</Loop>
|
|
134
|
+
<Loop name="L2310E" max="1" required="n">
|
|
135
|
+
<Segment name="NM1" max="1" required="y" comment="Ambulance pick up location"/>
|
|
136
|
+
<Segment name="N3" max="1" required="y" comment="Ambulance pick up address"/>
|
|
137
|
+
<Segment name="N4" max="1" required="y" comment="Ambulance pick up city/state/zip"/>
|
|
138
|
+
</Loop>
|
|
139
|
+
<Loop name="L2310F" max="1" required="n">
|
|
140
|
+
<Segment name="NM1" max="1" required="y" comment="Ambulance dropoff location"/>
|
|
141
|
+
<Segment name="N3" max="1" required="y" comment="Ambulance dropoff address"/>
|
|
142
|
+
<Segment name="N4" max="1" required="y" comment="Ambulance dropoff city/state/zip"/>
|
|
143
|
+
</Loop>
|
|
144
|
+
<Loop name="L2320" max="10" required="n">
|
|
145
|
+
<Segment name="SBR" max="1" required="n" comment="Other subscriber information" />
|
|
146
|
+
<Segment name="CAS" max="5" required="n" comment="Claim level adjustment" />
|
|
147
|
+
<Segment name="AMT" max="3" required="n" comment="Claim level adjustment amounts" />
|
|
148
|
+
<Segment name="OI" max="1" required="y" comment="Other insurance coverage information" />
|
|
149
|
+
<Segment name="MOA" max="1" required="n" comment="Medicare outpatient adjudication information" />
|
|
150
|
+
</Loop>
|
|
151
|
+
<Loop name="L2330A" max="1" required="n">
|
|
152
|
+
<Segment name="NM1" max="1" required="y" comment="Other subscriber name"/>
|
|
153
|
+
<Segment name="N3" max="1" required="n" comment="Other subscriber address"/>
|
|
154
|
+
<Segment name="N4" max="1" required="y" comment="Other subscriber city/state/zip"/>
|
|
155
|
+
<Segment name="REF" max="1" required="n" comment="Other subscriber location secondary id"/>
|
|
156
|
+
</Loop>
|
|
157
|
+
<Loop name="L2330B" max="1" required="n">
|
|
158
|
+
<Segment name="NM1" max="1" required="y" comment="Other payer name" />
|
|
159
|
+
<Segment name="N3" max="1" required="n" comment="Other payer address"/>
|
|
160
|
+
<Segment name="N4" max="1" required="y" comment="Other payer city/state/zip"/>
|
|
161
|
+
<Segment name="DTP" max="1" required="n" comment="Date - claim check or remittance date" />
|
|
162
|
+
<Segment name="REF" max="6" required="n" comment="Other reference information. Up to 6 different references can be associated to an 837p" />
|
|
163
|
+
</Loop>
|
|
164
|
+
<Loop name="L2330CDEFG" max="6" required="n" comment="Loops 2330C through 2330G combined for inbound transactions, application needs to determine the correct loop being provided.">
|
|
165
|
+
<Segment name="NM1" max="1" required="y" comment="Name" />
|
|
166
|
+
<Segment name="REF" max="3" required="y" comment="Secondary id"/>
|
|
167
|
+
</Loop>
|
|
168
|
+
<Loop name="L2400" max="50" required="y">
|
|
169
|
+
<Segment name="LX" max="1" required="y" comment="Service line" />
|
|
170
|
+
<Segment name="SV1" max="1" required="y" comment="Professional service" />
|
|
171
|
+
<Segment name="SV5" max="1" required="n" comment="Durable medical equipment service" />
|
|
172
|
+
<Segment name="PWK" max="10" required="n" comment="Line supplemental informtion" />
|
|
173
|
+
<Segment name="PWK" max="1" required="n" comment="Durable medical equipment certificate of medical necessity indicator" />
|
|
174
|
+
<Segment name="CR1" max="1" required="n" comment="Ambulance transport information" />
|
|
175
|
+
<Segment name="CR3" max="1" required="n" comment="Durable medical equipment certification" />
|
|
176
|
+
<Segment name="CRC" max="3" required="n" comment="Ambulance certification" />
|
|
177
|
+
<Segment name="CRC" max="1" required="n" comment="Hospice employee indicator" />
|
|
178
|
+
<Segment name="CRC" max="1" required="n" comment="Condition indicator durable medical equipment" />
|
|
179
|
+
<Segment name="DTP" max="1" required="y" comment="Date - service date; qualifier=472" />
|
|
180
|
+
<Segment name="DTP" max="9" required="n" />
|
|
181
|
+
<Segment name="QTY" max="1" required="n" comment="Ambulance patient count; qualifier=PT" />
|
|
182
|
+
<Segment name="QTY" max="1" required="n" comment="Obstetric Anesthesia additional units; qualifier=FL" />
|
|
183
|
+
<Segment name="MEA" max="5" required="n" comment="Test Results" />
|
|
184
|
+
<Segment name="CN1" max="1" required="n" comment="Contract information" />
|
|
185
|
+
<Segment name="REF" max="17" required="n" />
|
|
186
|
+
<Segment name="AMT" max="2" required="n" />
|
|
187
|
+
<Segment name="K3" max="10" required="n" comment="File information" />
|
|
188
|
+
<Segment name="NTE" max="2" required="n" />
|
|
189
|
+
<Segment name="PS1" max="1" required="n" comment="Purchasd service information" />
|
|
190
|
+
<Segment name="HCP" max="1" required="n" comment="Line pricing/repricing information" />
|
|
191
|
+
</Loop>
|
|
192
|
+
<Loop name="L2410" max="1" required="n" >
|
|
193
|
+
<Segment name="LIN" max="1" required="n" comment="Drug identification" />
|
|
194
|
+
<Segment name="CTP" max="1" required="y" comment="Drug pricing" />
|
|
195
|
+
<Segment name="REF" max="1" required="n" comment="Prescription or compound drug association number" />
|
|
196
|
+
</Loop>
|
|
197
|
+
<Loop name="L2420A" max="1" required="n" >
|
|
198
|
+
<Segment name="NM1" max="1" required="n" comment="Rendering provider name" />
|
|
199
|
+
<Segment name="PRV" max="1" required="n" comment="Rendering provider specialty information" />
|
|
200
|
+
<Segment name="REF" max="20" required="n" comment="Rendering provider secondary id" />
|
|
201
|
+
</Loop>
|
|
202
|
+
<Loop name="L2420B" max="1" required="n" >
|
|
203
|
+
<Segment name="NM1" max="1" required="n" comment="Purchased service provider name" />
|
|
204
|
+
<Segment name="REF" max="20" required="n" comment="Purchased service provider secondary id" />
|
|
205
|
+
</Loop>
|
|
206
|
+
<Loop name="L2420C" max="1" required="n" >
|
|
207
|
+
<Segment name="NM1" max="1" required="n" comment="Service facility location name" />
|
|
208
|
+
<Segment name="N3" max="1" required="y" comment="Service facility location address" />
|
|
209
|
+
<Segment name="N4" max="1" required="y" comment="Service facility location city/state/zip" />
|
|
210
|
+
<Segment name="REF" max="3" required="n" comment="Service facility location secondary id" />
|
|
211
|
+
</Loop>
|
|
212
|
+
<Loop name="L2420D" max="1" required="n">
|
|
213
|
+
<Segment name="NM1" max="1" required="n" comment="Supervising provider name" />
|
|
214
|
+
<Segment name="REF" max="20" required="n" comment="Supervising provider secondary id" />
|
|
215
|
+
</Loop>
|
|
216
|
+
<Loop name="L2420E" required="n">
|
|
217
|
+
<Segment name="NM1" max="1" required="n" comment="Ordering provider name" />
|
|
218
|
+
<Segment name="N3" max="1" required="n" comment="Ordering provider address" />
|
|
219
|
+
<Segment name="N4" max="1" required="y" comment="Ordering provider city/state/zip" />
|
|
220
|
+
<Segment name="REF" max="20" required="n" comment="Ordering provider secondary id" />
|
|
221
|
+
<Segment name="PER" max="1" required="n" comment="Ordering provider contact information" />
|
|
222
|
+
</Loop>
|
|
223
|
+
<Loop name="L2420F" max="2" required="n">
|
|
224
|
+
<Segment name="NM1" max="1" required="n" comment="Refering provider name" />
|
|
225
|
+
<Segment name="REF" max="20" required="n" comment="Refering provider secondary id" />
|
|
226
|
+
</Loop>
|
|
227
|
+
<Loop name="L2420G" max="1" required="n">
|
|
228
|
+
<Segment name="NM1" max="1" required="n" comment="Ambulance pickup information" />
|
|
229
|
+
<Segment name="N3" max="1" required="y" comment="Ambulance pickup address" />
|
|
230
|
+
<Segment name="N4" max="1" required="y" comment="Ambulance pickup city/state/zip" />
|
|
231
|
+
</Loop>
|
|
232
|
+
<Loop name="L2420H" max="1" required="n">
|
|
233
|
+
<Segment name="NM1" max="1" required="n" comment="Ambulance dropoff information" />
|
|
234
|
+
<Segment name="N3" max="1" required="y" comment="Ambulance dropoff address" />
|
|
235
|
+
<Segment name="N4" max="1" required="y" comment="Ambulance dropoff city/state/zip" />
|
|
236
|
+
</Loop>
|
|
237
|
+
<Loop name="L2430" max="15" required="n">
|
|
238
|
+
<Segment name="SVD" max="1" required="n" comment="Line adjudication information" />
|
|
239
|
+
<Segment name="CAS" max="5" required="n" comment="Line adjustment" />
|
|
240
|
+
<Segment name="DTP" max="1" required="y" comment="Line check or remittance date" />
|
|
241
|
+
<Segment name="AMT" max="1" required="n" comment="Remaining patient liability" />
|
|
242
|
+
<Segment name="LQ" max="1" required="n" comment="Form identification code" />
|
|
243
|
+
<Segment name="FRM" max="99" required="n" comment="Supporting documentation" />
|
|
244
|
+
</Loop>
|
|
245
|
+
</Loop>
|
|
246
|
+
</Loop>
|
|
243
247
|
</Loop>
|
|
244
248
|
<Segment name="SE" required="y" />
|
|
245
249
|
</Loop>
|