CL1

Institutional Claim Code

Pos: 110

Max: 1

Detail - Optional

Loop: 2000F

Elements: 4

User Option (Usage): Situational

To supply information specific to hospital claims

Element Summary:

	Ref	Id	Element Name	Req	Type	Min/Max	Usage
	CL101	1315	Admission Type Code Description: Code indicating the priority of this admission CODE SOURCE: 231: Admission Type Code Required if valued on the request.	O	ID	1/1	Situational

	ExternalCodeList
	Name: 231
	Description: Admission Type Code

CL102

1314

Admission Source Code
Description: Code indicating the source of this admission
CODE SOURCE: 230: Admission Source Code
Required if valued on the request.

1/1

Situational

	ExternalCodeList
	Name: 230
	Description: Admission Source Code

CL103

1352

Patient Status Code
Description: Code indicating patient status as of the "statement covers through date"
CODE SOURCE: 239: Patient Status Code
Required if valued on the request.

1/2

Situational

	ExternalCodeList
	Name: 239
	Description: Patient Status Code

CL104

1345

Nursing Home Residential Status Code
Description: Code specifying the status of a nursing home resident at the time of service
Required if the UMO has determined that the status of the nursing home resident is different from the status conveyed on the request.
All valid standard codes are used.

1/1

Situational

Notes:

1. Required only if valued on the request and modified by the UMO. Otherwise not used.

Example:

CL1*3**01~

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