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# | Location | File | Last Modified |
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1 | CCRS.zip\CCRS\CCRS-BUSRULES-v1.5.3.zip\CCRS-BUSRULES-v1.5.3-436e6fff1115001d614ccd45b469ad60a9bdb27b\docs | Cross_Claim_Type_Mapping.xls | Tue Apr 10 06:18:41 2018 UTC |
2 | CCRS.zip\CCRS\CCRS-BUSRULES-v1.5.3.zip\CCRS-BUSRULES-v1.5.3-436e6fff1115001d614ccd45b469ad60a9bdb27b\docs | Cross_Claim_Type_Mapping.xls | Fri Jun 15 15:13:21 2018 UTC |
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Character case | Differences in character case are significant |
Line endings | Differences in line endings (CR and LF characters) are ignored |
CR/LF characters | Not shown in the comparison detail |
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1 | SHEET: She et1 | |
2 | ||
3 | ||
4 | , Claim Le vel, Profe ssional, I nstitution al, Pharma cy, Dental , , Claim Line Level , Professi onal, Inst itutional, Pharmacy, Dental | |
5 | , Claim ID , X, X, X, X, , Clai m Line ID, X, X, X, X | |
6 | , Billing Provider, X, X, X, X , , Proced ure Code, X, X, X, X | |
7 | , Referrin g Provider , X, X, X, X, , Plac e of Servi ce, X, , , X | |
8 | , Operatin g Provider , , X, , , , # of Un its, X, X, X, X | |
9 | , Attendin g Provider , , X, , , , Unit La bel, X, X, X, X | |
10 | , Other Pr ovider, , X, , , , R endering P rovider, X , X, , X | |
11 | , Billed A mount, X, X, X, X, , Billed Am ount, X, X , X, X | |
12 | , VA Stati on, X, X, , X, , Pai d Amount, X, X, X, X | |
13 | , Patient/ Veteran, X , X, X, X, , Service Date From , X, X, , X | |
14 | , Patient Account Nu mber, X, X , X, X, , Service Da te To, X | |
15 | , Date of Service, X , X, X, X, , Diagnos is Codes, X, , , X | |
16 | , Place of Service, X, , X, X, , Modifie r Codes, X , X, , X | |
17 | , Service Facility, X, X, X, X , , Revenu e Code, , X | |
18 | , Admittin g Diagnosi s, , X, , , , Prescr iption Ser vice Refer ence Numbe r, , , X | |
19 | , Principa l Diagnosi s, X, X, , X, , Prod uct ID, , , X | |
20 | , Other Di agnosis Co des, X, X, ?, X, , Q uantity Di spensed, , , X | |
21 | , External Cause of Injury Dia gnosis Cod es, , X, , , , Fill Number, , , X | |
22 | , Reason f or Visit D iagnosis C odes, , X, , , , Day s Supply, , , X | |
23 | , Other He alth Insur ance, X, X , X, X, , Compound C ode, , , X | |
24 | , Conditio n Code, X, X, , , , Date Presc ription Wr itten, , , X | |
25 | , Type of Bill (Bill Type), , X, , , , R efills Aut horized, , , X | |
26 | , Admissio n Date, , X, , , , Q uantity Pr escribed, , , X | |
27 | , Admissio n Time, , X, , , , L evel of Se rvice, , , X | |
28 | , Admissio n Source, , X, , , , Route of Administra tion, , , X | |
29 | , Admissio n Type, , X, , , , C ompund Typ e, , , X | |
30 | , Discharg e Date, , X, , , , P harmacy Se rvice Type , , , X | |
31 | , Discharg e Hour, , X, , , , C ompound Pr oduct ID, , , X | |
32 | , Discharg e Status, , X, , , , Compound Ingredient Count, , , X | |
33 | , Accident State, , X, , , , C ompound In gredient Q uantity, , , X | |
34 | , Statemen t Date Fro m, , X, , , , Compou nd Ingredi ent Drug C ost, , , X | |
35 | , Statemen t Date To, , X, , , , Compound Basis of Cost, , , X | |
36 | , Principa l Procedur e Code, , X, , , , C ompound In gredient M odifier Co de, , , X | |
37 | , Other Pr ocedure Co des, , X, , , , Disp ensing Fee , , , X | |
38 | , Value Co des, , X, , , , Oral Cavity De signation Code, , , , X | |
39 | , Occurren ce Codes, , X, , , , Oral Cavi ty Sequenc e, , , , X | |
40 | , Occurren ce Spans, , X, , , , Tooth Sur face Code, , , , X | |
41 | , Prescrib ing Provid er, , , X, , , Tooth Surface S equence, , , , X | |
42 | , Renderin g Provider , , , X, X , , Tooth Code, , , , X | |
43 | ||
44 | SHEET: She et2 | |
45 | ||
46 | ||
47 | ||
48 | SHEET: She et3 | |
49 |
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