CN1

Contract Information

Pos: 160

Max: 1

Detail - Optional

Loop: 2300

Elements: 6


User Option (Usage): Situational
To specify basic data about the contract or contract line item

Element Summary:

 

Ref

Id

Element Name

Req

Type

Min/Max

Usage

 

CN101

1166

Contract Type Code
Description: Code identifying a contract type
Alias: 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
Description: Monetary amount
Industry: Contract Amount
Required if the provider is required by contract to supply this information on the claim.

O

R

1/18

Situational

 

CN103

332

Percent
Description: Percent expressed as a percent
Industry: Contract Percentage
Alias: Contract Percent
Allowance or charge percent
Required if the provider is required by contract to supply this information on the claim.

O

R

1/6

Situational

 

CN104

127

Reference Identification
Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
Industry: Contract Code
Required if the provider is required by contract to supply this information on the claim.

O

AN

1/30

Situational

 

CN105

338

Terms Discount Percent
Description: Terms discount percentage, expressed as a percent, available to the purchaser if an invoice is paid on or before the Terms Discount Due Date
Industry: Terms Discount Percentage
Alias: Terms Discount Percent
Required if the provider is required by contract to supply this information on the claim.

O

R

1/6

Situational

 

CN106

799

Version Identifier
Description: Revision level of a particular format, program, technique or algorithm
Industry: Contract Version Identifier
Required if the provider is required by contract to supply this information on the claim.

O

AN

1/30

Situational


Semantics:

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.
2. Required if the provider is contractually obligated to provide contract information on this claim.

Example:

CN1*02*550~



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