Identifier used to track a claim from creation by the health care provider through payment.

Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization

Monetary amount.

Monetary amount.

Monetary amount.

Code identifying type of claim

Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.

Code identifying the type of facility where services were performed; the first and second positions of the Uniform Bill Type code or the Place of Service code from the Electronic Media Claims National Standard Format

Code specifying the frequency of the claim; this is the third position of the Uniform Billing Claim Form Bill Type

Code indicating patient status as of the ``statement covers through date''

Code indicating a patient's diagnosis group based on a patient's illness, diseases, and medical problems

Numeric value of quantity.