Submitted by: Submitted by saleh3
Views: 289
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Pages: 2
Category: Business and Industry
Date Submitted: 05/17/2013 01:02 AM
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
Text
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...