Eclaimlink Edscrelease 20.03.2013

eClaim Data Standard Committee (EDSC)

Release (V2) – 20.03.2013

Observation Details

Observation element is utilized within the eClaimLink ClaimSubmission and PriorRequest to accommodate the communication of additional information related to the activities between the payers and the providers. Below is a full list of observation detail combinations that are utilized within the transactions: Type Financial Code ActivityGross Value ValueType Float Description Gross amount of the activity. Can be up to two digits after the decimal. XML format Financial ActivityGross ### Float Financial PSDeductible ### Float Financial PSCoPayment ### Float Financial PSOutOfPocket ### Float

Financial

PSDeductible

Float

Deductible amount of the patient share. Can be up to two digits after the decimal.

Financial

PSCoPayment

Float

Co-Payment amount of the patient share. Can be up to two digits after the decimal.

Financial

PSOutOfPocket

Float

Out-Of-Pocket amount of the patient share. Can be up to two digits after the decimal.

1|Pa g e

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EncounterID

Other

Encounter ID field utilized by the providers to link the encounter to an internal filing system.

Text EncounterID ABC## Other Grouping PackageID ABC## Other Grouping BundleID ABC## Other Text PresentingComplaint ABC## Other Text Non-Standard-Code ABC## Other

Grouping

PackageID

Other

Package ID to enable the linking of a given activity to a given package that facilitates a discounted price.

Grouping

BundleID

Other

Bundle ID to enable the linking of a given activity to a given package that facilitates a discounted price.

Text

PresentingComplaint

Other

Text description to give further clarification of the performed consultation. Used with service codes 9,9.1,10,10.1, 11, 11.1, 21, 22, 23

Text

Non-Standard-Code

Other

Code utilized to link a given activity to an internal service code agreed upon between the payer and...