CN1 |
Contract Information |
|
||||||
|
Ref |
Id |
Element Name |
Req |
Type |
Min/Max |
Usage |
|
CN101 |
1166 |
Contract Type Code
|
M |
ID |
2/2 |
Required |
|
Code |
Name |
|
02 |
Per Diem |
|
03 |
Variable Per Diem |
|
04 |
Flat |
|
05 |
Capitated |
|
06 |
Percent |
|
09 |
Other |
|
CN102 |
782 |
Monetary Amount
|
O |
R |
1/18 |
Situational |
|
CN103 |
332 |
Percent
|
O |
R |
1/6 |
Situational |
|
CN104 |
127 |
Reference Identification
|
O |
AN |
1/30 |
Situational |
|
CN105 |
338 |
Terms Discount Percent
|
O |
R |
1/6 |
Situational |
|
CN106 |
799 |
Version Identifier
|
O |
AN |
1/30 |
Situational |
1. |
CN102 is the contract amount. |
2. |
CN103 is the allowance or charge percent. |
3. |
CN104 is the contract code. |
4. |
CN106 is an additional identifying number for the contract. |
Notes: |
1. The developers of this implementation guide recommend that for non-capitated situations, contract information be maintained in the receiver’s files and not be transmitted with each claim whenever possible. It is recommended that submitters always include CN1 for encounters that include only capitated services.
|
Example: |
CN1*02*550~ |