Changes to the CSV Export Layout (Release 2.12.2)

New Columns (Claim)

  • FacilityCode. Place of service code for professional/dental claims or UB facility code for institutional claims. EDI Element: CLM05-1.
  • PatientPregnancyIndicator. EDI Element: PAT09.
  • AnesthesiaProcedureCode. EDI Element: HI*BP; 837P only.

Attachment (PWK segment) columns:

  • Attachment*ReportTypeCode. EDI Element: PWK01
  • Attachment*ReportTransmissionCode. EDI Element: PWK02
  • Attachment*ControlNumber. EDI Element: PWK06

New Columns (Service Line, 837P Only)

  • LineEmergencyIndicator. EDI Element: SV109
  • LineEpsdtIndicator. EDI Element: SV111
  • LineFamilyPlanningIndicator. EDI Element: SV112
  • LineCopayStatusCode. EDI Element: SV115

Attachment (PWK segment) columns:

  • LineAttachment*ReportTypeCode. EDI Element: PWK01
  • LineAttachment*ReportTransmissionCode. EDI Element: PWK02
  • LineAttachment*ControlNumber. EDI Element: PWK06

Changes to Existing Columns

  • FacilityTypeCode on 835 has been renamed to FacilityCode to make it consistent with 837.