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SEARCG BY VENDOR REC (EQUALS)

 

 

MAP_MSTR_IK VENDOR_REC VENDOR_FIELD_NUM FRIENDLY_NAME LOOP SEGMENT DATA_ELEMENT ODS TABLES ODS COLUMNS GLOBAL_RULE MAO_SPECIFIC_RULE ACA_SPECIFIC_RULE LOGICAL_RULE_EXPLANATION 837_ELEMENT_DESCRIPTION NOTES FORMATTING_RULE
MAP_MSTR_IK VNDRHDR 1 00 Record
MAP_MSTR_IK VNDRHDR 2 EMCSV HEADER HEADER FILE TYPE INDICATOR LITERAL "EMCSV"
MAP_MSTR_IK VNDRHDR 3 Version
MAP_MSTR_IK VNDRHDR 4 FileID
MAP_MSTR_IK VNDRHDR 5 File Type
MAP_MSTR_IK VNDRHDR 6 FileCreationDateTime
MAP_MSTR_IK VNDRHDR 7 SenderID
MAP_MSTR_IK VNDRHDR 8 ReceiverID
MAP_MSTR_IK 100 1 100 Record
MAP_MSTR_IK 100 2 100 KEY AUDT_CLM_STS CLM_IK
MAP_MSTR_IK 100 3 ClaimStatus
MAP_MSTR_IK 100 4 ClaimType
MAP_MSTR_IK 100 5 SenderID
MAP_MSTR_IK 100 6 Receiver ID
MAP_MSTR_IK 100 7 OriginatorID
MAP_MSTR_IK 100 8 Contract ID (CMS CONTRACT CODE Hxxxxx)
MAP_MSTR_IK 100 9 DestinationID (who is receiving it in the end. Receiver ISA-08)
MAP_MSTR_IK 100 10 HistoricalIndicator
MAP_MSTR_IK 100 11 HistoricalDispositionStatus
MAP_MSTR_IK 100 12 HistoricalEncounterICN
MAP_MSTR_IK 100 13 HistoricalEncounterID
MAP_MSTR_IK 100 14 Paper
MAP_MSTR_IK 100 15 DME
MAP_MSTR_IK 100 16 Administrative Denial
MAP_MSTR_IK 100 17 Chart Review Data
MAP_MSTR_IK 100 18 Source
MAP_MSTR_IK 100 19 Filler
MAP_MSTR_IK 100 20 TraceNumber NOT MAPPED
MAP_MSTR_IK 100 21 1000A_NM101_SubmitterEntityRole
MAP_MSTR_IK 100 22 1000A_NM102_SubmitterPersonIndicator
MAP_MSTR_IK 100 23 1000A_NM103_SubmitterLastName
MAP_MSTR_IK 100 24 1000A_NM108_SubmitterIdentifierQualifier
MAP_MSTR_IK 100 25 1000A_NM109_SubmitterIdentifier
MAP_MSTR_IK 100 26 1000A_PER01_01_SubmitterContactIdentifier
MAP_MSTR_IK 100 27 1000A_PER02_01_SubmitterContactName
MAP_MSTR_IK 100 28 1000A_PER03_01_SubmitterContactQualifier1
MAP_MSTR_IK 100 29 1000A_PER04_01_SubmitterContact1
MAP_MSTR_IK 100 30 1000A_PER05_01_SubmitterContacQualifier2
MAP_MSTR_IK 100 31 1000A_PER06_01_SubmitterContact2
MAP_MSTR_IK 100 32 1000B_NM101_ReceiverEntityRole
MAP_MSTR_IK 100 33 1000B_NM102_PersonIndicator
MAP_MSTR_IK 100 34 1000B_NM103_ReceiverName
MAP_MSTR_IK 100 35 1000B_NM108_ReceiverIdentifierQualifier
MAP_MSTR_IK 100 36 1000B_NM109_ReceiverIdentifier
MAP_MSTR_IK 100 37 2000A_PRV01_BillingProviderCode
MAP_MSTR_IK 100 38 2000A_PRV02_BillingProviderCodeQualifier
MAP_MSTR_IK 100 39 2000A_PRV03_BillingProviderTaxonomy BLAH BLAH BLAH
MAP_MSTR_IK 100 40 2010AA_NM101_BillingProviderRole
MAP_MSTR_IK 100 41 2010AA_NM102_BillingPersonIndicator 2010AA NM1 NM102 CLM_BILL_PRVDR ALWAYS 2 NON PERSON
MAP_MSTR_IK 100 42 2010AA_NM103_BillingOrg_LastName
MAP_MSTR_IK 100 43 2010AA_NM104_BillingFirstName
MAP_MSTR_IK 100 44 2010AA_NM105_BillingMiddleName
MAP_MSTR_IK 100 45 2010AA_NM107_BillingSuffix
MAP_MSTR_IK 100 46 2010AA_NM108_BillingProviderIdentifierQualifier
MAP_MSTR_IK 100 47 2010AA_NM109_BillingProviderIdentifier
MAP_MSTR_IK 100 48 2010AA_N301_BillingAddressLine1
MAP_MSTR_IK 100 49 2010AA_N302_BillingAddressLine2
MAP_MSTR_IK 100 50 2010AA_N401_BillingCity
MAP_MSTR_IK 100 51 2010AA_N402_BillingState
MAP_MSTR_IK 100 52 2010AA_N403_BillingPostalCode
MAP_MSTR_IK 100 53 2010AA_N404_BillingCountry
MAP_MSTR_IK 100 54 2010AA_REF01_BillingProviderIdentifierQualifier_1
MAP_MSTR_IK 100 55 2010AA_REF02_BillingProviderIdentifier_1
MAP_MSTR_IK 100 56 2010AA_REF01_BillingProviderIdentifierQualifier_2
MAP_MSTR_IK 100 57 2010AA_REF02_BillingProviderIdentifier_2
MAP_MSTR_IK 100 58 2010AA_BillingProviderSpeciality
MAP_MSTR_IK 100 59 2010AA_BillingProviderType
MAP_MSTR_IK 100 60 2010AA_PER01_BillingProviderContactFunction_1
MAP_MSTR_IK 100 61 2010AA_PER02_BillingProviderContactName_1
MAP_MSTR_IK 100 62 2010AA_PER03_BillingProviderCommunicationNumberQualifier_1
MAP_MSTR_IK 100 63 2010AA_PER04_BillingProviderCommunicationNumber_1
MAP_MSTR_IK 100 64 2010AA_PER05_BillingProviderCommunicatioNumberQualifier_1
MAP_MSTR_IK 100 65 2010AA_PER06_BillingProviderCommunicationNumber_1
MAP_MSTR_IK 100 66 2010AA_PER07_BillingProviderCommunicatioNumberQualifier_1
MAP_MSTR_IK 100 67 2010AA_PER08_BillingProviderCommunicationNumber_1
MAP_MSTR_IK 100 68 2010AA_PER01_BillingProviderContactFunction_2
MAP_MSTR_IK 100 69 2010AA_PER02_BillingProviderContactName_2
MAP_MSTR_IK 100 70 2010AA_PER03_CommunicatioNumberQualifier_2
MAP_MSTR_IK 100 71 2010AA_PER04_BillingProviderCommunicationNumber_2
MAP_MSTR_IK 100 72 2010AA_PER05_BillingProviderCommunicatioNumberQualifier_2
MAP_MSTR_IK 100 73 2010AA_PER06_BillingProviderCommunicationNumber_2
MAP_MSTR_IK 100 74 2010AA_PER07_BillingProviderCommunicatioNumberQualifier_2
MAP_MSTR_IK 100 75 2010AA_PER08_BillingProviderCommunicationNumber_2
MAP_MSTR_IK 100 76 2010AB_NM101_PayToProviderRole
MAP_MSTR_IK 100 77 2010AB_NM102_PayToPersonIndicator
MAP_MSTR_IK 100 78 2010AB_N301_PayToAddressLine1
MAP_MSTR_IK 100 79 2010AB_N302_PayToAddressLine2
MAP_MSTR_IK 100 80 2010AB_N401_PayToCity
MAP_MSTR_IK 100 81 2010AB_N402_PayToState
MAP_MSTR_IK 100 82 2010AB_N403_PayToPostalCode
MAP_MSTR_IK 100 83 2010AB_N404_PayToCountry
MAP_MSTR_IK 100 84 2010AC_NM101_PayToPlanOrganizationRole
MAP_MSTR_IK 100 85 2010AC_NM102_PayToPlanPersonIndicator
MAP_MSTR_IK 100 86 2010AC_NM103_PayToPlanName
MAP_MSTR_IK 100 87 2010AC_NM108_PayToPlanOrganizationIDQualifier
MAP_MSTR_IK 100 88 2010AC_NM109_PayToPlanOrganizationIdentifier
MAP_MSTR_IK 100 89 2010AC_N301_PayToPlanAddressLine1
MAP_MSTR_IK 100 90 2010AC_N302_PayToPlanAddressLine2
MAP_MSTR_IK 100 91 2010AC_N401_PayToPlanCity
MAP_MSTR_IK 100 92 2010AC_N402_PayToPlanState
MAP_MSTR_IK 100 93 2010AC_N403_PayToPlanPostalCode
MAP_MSTR_IK 100 94 2010AC_N404_PayToPlanCountry
MAP_MSTR_IK 100 95 2010AC_REF01_OrganizationIDQualifier_1
MAP_MSTR_IK 100 96 2010AC_REF02_OrganizationIdentifier_1
MAP_MSTR_IK 100 97 2010AC_REF01_OrganizationIDQualifier_2
MAP_MSTR_IK 100 98 2010AC_REF02_OrganizationIdentifier_2
MAP_MSTR_IK 100 99 Claim_Encounter Cleanup NOT MAPPED
MAP_MSTR_IK 100 100 Atypical Provider Flag
MAP_MSTR_IK 100 101 Supplemental Interim Flag
MAP_MSTR_IK 100 102 Interim Late Charge Flag
MAP_MSTR_IK 100 103 IssuerIdentifier
MAP_MSTR_IK 100 104 100-Filler 05
MAP_MSTR_IK 100 105 100R_MonetaryAmountChangeFlag
MAP_MSTR_IK 100 106 1000A_NM104_SubmitterFirstName
MAP_MSTR_IK 100 107 BillingCountyCode
MAP_MSTR_IK 100 108 100-Filler 06
MAP_MSTR_IK 100 109 ClaimInputMethod
MAP_MSTR_IK 100 110 Rehab Flag
MAP_MSTR_IK 100 111 PS Custom Field 1
MAP_MSTR_IK 100 112 Void Reason
MAP_MSTR_IK 100 113 100-Filler 11
MAP_MSTR_IK 100 114 Claim Processing Date
MAP_MSTR_IK 100 115 REFERENCE CLAIM ID
MAP_MSTR_IK 100 116 100-Filler 14
MAP_MSTR_IK 100 117 100-Filler 15
MAP_MSTR_IK 100 118 HistoricalPassThroughIndicator REF D9 PAYER CLAIM CONTROL NUMBER WHEN CLAIM IS A HISTORY MIGRATED CLAIM, THE ICN OF THE LATEST ACCEPTED VERSION OF THE CLAIM IS RETRIEVED AND THIS FLAG IS SET TO TRUE, IF THIS HISTORY CLAIM NEEDS TO BE SUBMITTED DUE TO SOME SUBSEQUENT ACTION - AN LCR AGAINST THIS CLAIM, A RESEND ETC. THIS TELLS THE VENDOR THAT THEY DO NOT HAVE THIS CLAIM AND TO TAKE THE ICN THE RESERVED FIELD IN 100 RECORD AND SEND IT ON TO CMS. THIS APPLIES ONLY TO MAO, AS ACA DOES NOT DEAL WITH HISTORY....RATHER ONLY THE CURRENT BENEFIT YEAR DATA IS SUBMITTED. DOES NOT APPLY TO ACA
MAP_MSTR_IK 100 119 HistoricalOriginalClaimID
MAP_MSTR_IK 150 1 150 Record
MAP_MSTR_IK 150 2 150 KEY
MAP_MSTR_IK 150 3 2000B_SBR01_SubscriberPayerResponsibilitySequence
MAP_MSTR_IK 150 4 2000B_SBR02_SubscriberRelationship
MAP_MSTR_IK 150 5 2000B_SBR03_SubscriberPolicyNumber
MAP_MSTR_IK 150 6 2000B_SBR04_InsuredGroupName
MAP_MSTR_IK 150 7 2000B_SBR09_ClaimFilingIndicator
MAP_MSTR_IK 150 8 2010BA_NM101_SubscriberPersonRole
MAP_MSTR_IK 150 9 2010BA_NM102_SubscriberPersonIndicator
MAP_MSTR_IK 150 10 2010BA_NM103_SubscriberLastName
MAP_MSTR_IK 150 11 2010BA_NM104_SubscriberFirstName
MAP_MSTR_IK 150 12 2010BA_NM105_SubscriberMiddleName
MAP_MSTR_IK 150 13 2010BA_NM107_SubscriberSuffix
MAP_MSTR_IK 150 14 2010BA_NM108_SubscriberIdentifierQualifer
MAP_MSTR_IK 150 15 2010BA_NM109_SubscriberIdentifier
MAP_MSTR_IK 150 16 2010BA_REF01_SubscriberSSNQualifier
MAP_MSTR_IK 150 17 2010BA_REF02_Subscriber_Identifier_SSN
MAP_MSTR_IK 150 18 2010BA_REF01_PropertyandCasualty_Qualifier
MAP_MSTR_IK 150 19 2010BA_REF02_PropertyandCasualty_Identifier
MAP_MSTR_IK 150 20 2010BA_N301_SubscriberAddressLine1
MAP_MSTR_IK 150 21 2010BA_N302_SubscriberAddressLine2
MAP_MSTR_IK 150 22 2010BA_N401_SubscriberCity
MAP_MSTR_IK 150 23 2010BA_N402_SubscriberState
MAP_MSTR_IK 150 24 2010BA_N403_SubscriberPostalCode
MAP_MSTR_IK 150 25 2010BA_N404_SubscriberCountry
MAP_MSTR_IK 150 26 2010BA_DMG01_DateQualifer
MAP_MSTR_IK 150 27 2010BA_DMG02_DateOfBirth
MAP_MSTR_IK 150 28 2010BA_DMG03_Gender
MAP_MSTR_IK 150 29 2010BA_REF01_SubscriberIdentifierQualifier_1
MAP_MSTR_IK 150 30 2010BA_REF02_SubscriberIdentifier_1
MAP_MSTR_IK 150 31 2010BA_REF01_SubscriberIdentifierQualifer_2
MAP_MSTR_IK 150 32 2010BA_REF02_SubscriberIdentifier_2
MAP_MSTR_IK 150 33 2010BB_NM101_Payer OrganizationRole
MAP_MSTR_IK 150 34 2010BB_NM102_PayerPersonIndicator
MAP_MSTR_IK 150 35 2010BB_NM103_PayerName
MAP_MSTR_IK 150 36 2010BB_NM108_PayerOrganizationIDQualifier
MAP_MSTR_IK 150 37 2010BB_NM109_PayerOrganizationIdentifier
MAP_MSTR_IK 150 38 2010BB_N301_PayerAddressLine1
MAP_MSTR_IK 150 39 2010BB_N302_PayerAddressLine2
MAP_MSTR_IK 150 40 2010BB_N401_PayerCity
MAP_MSTR_IK 150 41 2010BB_N402_PayerState
MAP_MSTR_IK 150 42 2010BB_N403_PayerPostalCode
MAP_MSTR_IK 150 43 2010BB_N404_PayerCountry
MAP_MSTR_IK 150 44 2010BB_REF01_PayerOrganizationIDQualifier_1
MAP_MSTR_IK 150 45 2010BB_REF02_PayerOrganizationIdentifier_1
MAP_MSTR_IK 150 46 2010BB_REF01_ProviderIDQualifier_1
MAP_MSTR_IK 150 47 2010BB_REF02_BillingProviderIdentifier_1
MAP_MSTR_IK 150 48 2010BB_REF01_BillingProviderIDQualifier_2
MAP_MSTR_IK 150 49 2010BB_REF02_BillingProviderIdentifier_2
MAP_MSTR_IK 150 50 2010BB_REF01_BillingProviderIDQualifier_3
MAP_MSTR_IK 150 51 2010BB_REF02_ProviderIdentifier_3
MAP_MSTR_IK 150 52 2010BB_REF01_BillingProviderIDQualifier_4
MAP_MSTR_IK 150 53 2010BB_REF02_BillingProviderIdentifier_4
MAP_MSTR_IK 150 54 150_Patient_Last_Name (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 55 150_Patient_First_Name (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 56 150_Patient_Middle_Name (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 57 150_Patient_SSN (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 58 150_Patient_Member_ID (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 59 150_Patient_Gender (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 60 150_Patient_DOB (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 61 150_Patient_Address_Line1 (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 62 150_Patient_Address_Line2 (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 63 150_Patient_Address_City (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 64 150_Patient_Address_State (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 65 150_Patient_Address_Zip (2010CA DEPENDENT PATIENT)
MAP_MSTR_IK 150 66 150_PCP_ID_Qual
MAP_MSTR_IK 150 67 150_PCP_ID
MAP_MSTR_IK 150 68 150_PCP_Group_Identifier
MAP_MSTR_IK 150 69 150_PDP_IPA_PMG_Type
MAP_MSTR_IK 150 70 150_PDP_IPA_PMG_ID
MAP_MSTR_IK 150 71 150_PCP_Open_Indic
MAP_MSTR_IK 150 72 150_PCP_Eligibility_Ind
MAP_MSTR_IK 150 73 150_COS
MAP_MSTR_IK 150 74 150_Service_Category_Type
MAP_MSTR_IK 150 75 150_Rendering_Prov_Eff_Date
MAP_MSTR_IK 150 76 150_Rendering_Prov_Term_Date
MAP_MSTR_IK 150 77 150_Rendering_Prov_DEA_ID
MAP_MSTR_IK 150 78 150_Rendering_Prov_Gender
MAP_MSTR_IK 150 79 150_Provider_Par_Non_Par
MAP_MSTR_IK 150 80 Care Plan Option Indicator
MAP_MSTR_IK 150 81 Group Indentifier
MAP_MSTR_IK 150 82 Care Type Code
MAP_MSTR_IK 150 83 Financial Arrangement Code
MAP_MSTR_IK 150 84 150-Filler 05
MAP_MSTR_IK 150 85 2000B_SBR05_InsuranceTypeCode
MAP_MSTR_IK 150 86 2000B_PAT09_PregnancyIndicator
MAP_MSTR_IK 150 87 150-Filler 06
MAP_MSTR_IK 150 88 150-Filler 07
MAP_MSTR_IK 150 89 150-Filler 08
MAP_MSTR_IK 150 90 150-Filler 09
MAP_MSTR_IK 150 91 150-Filler 10
MAP_MSTR_IK 150 92 150-Filler 11
MAP_MSTR_IK 150 93 150-Filler 12
MAP_MSTR_IK 150 94 150-Filler 13
MAP_MSTR_IK 150 95 150-Filler 14
MAP_MSTR_IK 150 96 150-Filler 15
MAP_MSTR_IK 150 97 2000B_PAT06_PatientDeathDate
MAP_MSTR_IK 150 98 2000C_PAT01_PatientRelationship
MAP_MSTR_IK 150 99 2000C_PAT06_PatientDeathDate
MAP_MSTR_IK 150 100 2000C_PAT08_PatientWeight
MAP_MSTR_IK 150 101 2000C_PAT09_PregnancyIndicator
MAP_MSTR_IK 150 102 150_SubscriberRegionCode
MAP_MSTR_IK 150 103 SubscriberOtherInsuranceCoverage
MAP_MSTR_IK 150 104 150_PurchasedIndicator
MAP_MSTR_IK 150 105 150_BehavioralHealth_COS
MAP_MSTR_IK 20P 1 20P Record (Professional - Occurs Once)
MAP_MSTR_IK 20P 2 20P KEY
MAP_MSTR_IK 20P 3 2300P_CLM01_ClaimNumber 2300 CLM 01 AUDT_CLM_STS CLM_NB PREFIX WITH REGION CODE FOR ORIGINAL OR ADJ CLAIM THIS IS CDW CLM NM. IF A VOID THEN THIS IS THE CLAIM NUMBER OF THE CLAIM WE INTEND TO VOID.
MAP_MSTR_IK 20P 4 2300P_CLM02_TotalClaimCharge
MAP_MSTR_IK 20P 5 2300P_CLM05-01_PlaceOfService
MAP_MSTR_IK 20P 6 2300P_CLM05-02_BillTypeQualifier
MAP_MSTR_IK 20P 7 2300P_CLM05-03_ClaimFrequencyCode
MAP_MSTR_IK 20P 8 2300P_CLM06_ProviderSignature
MAP_MSTR_IK 20P 9 2300P_CLM07_MedicareAssignment
MAP_MSTR_IK 20P 10 2300P_CLM08_BenefitAssignmentIndicator
MAP_MSTR_IK 20P 11 2300P_CLM09_ReleaseOfInformation
MAP_MSTR_IK 20P 12 2300P_CLM10_PatientSignatureSource
MAP_MSTR_IK 20P 13 2300P_CLM11-01_RelatedCausesCode
MAP_MSTR_IK 20P 14 2300P_CLM11-02_RelatedCausesCode
MAP_MSTR_IK 20P 15 2300P_CLM11-04_AccidentState
MAP_MSTR_IK 20P 16 2300P_CLM11-05_AccidentCountry
MAP_MSTR_IK 20P 17 2300P_CLM12_SpecialProgramIndicator
MAP_MSTR_IK 20P 18 2300P_CLM20_DelayReason
MAP_MSTR_IK 20P 19 2300P_DTP01_DateTimeQualifier_1
MAP_MSTR_IK 20P 20 2300P_DTP02_FormatQualifier_1
MAP_MSTR_IK 20P 21 2300P_DTP03_DateTime_1
MAP_MSTR_IK 20P 22 2300P_DTP01_DateTimeQualifier_2
MAP_MSTR_IK 20P 23 2300P_DTP02_FormatQualifier_2
MAP_MSTR_IK 20P 24 2300P_DTP03_DateTime_2
MAP_MSTR_IK 20P 25 2300P_DTP01_DateTimeQualifier_3
MAP_MSTR_IK 20P 26 2300P_DTP02_FormatQualifier_3
MAP_MSTR_IK 20P 27 2300P_DTP03_DateTime_3
MAP_MSTR_IK 20P 28 2300P_DTP01_DateTimeQualifier_4
MAP_MSTR_IK 20P 29 2300P_DTP02_FormatQualifier_4
MAP_MSTR_IK 20P 30 2300P_DTP03_DateTime_4
MAP_MSTR_IK 20P 31 2300P_DTP01_DateTimeQualifier_5
MAP_MSTR_IK 20P 32 2300P_DTP02_FormatQualifier_5
MAP_MSTR_IK 20P 33 2300P_DTP03_DateTime_5
MAP_MSTR_IK 20P 34 2300P_DTP01_DateTimeQualifier_6
MAP_MSTR_IK 20P 35 2300P_DTP02_FormatQualifier_6
MAP_MSTR_IK 20P 36 2300P_DTP03_DateTime_6
MAP_MSTR_IK 20P 37 2300P_DTP01_DateTimeQualifier_7
MAP_MSTR_IK 20P 38 2300P_DTP02_FormatQualifier_7
MAP_MSTR_IK 20P 39 2300P_DTP03_DateTime_7
MAP_MSTR_IK 20P 40 2300P_CN101_ContractTypeCode
MAP_MSTR_IK 20P 41 2300P_CN102_MonetaryAmount
MAP_MSTR_IK 20P 42 2300P_CN103_ContractPercentage
MAP_MSTR_IK 20P 43 2300P_CN104_ContractCode
MAP_MSTR_IK 20P 44 2300P_CN105_TermsDiscountPercent
MAP_MSTR_IK 20P 45 2300P_CN106_ContractVersionIdentifier
MAP_MSTR_IK 20P 46 2300P_AMT01_AmountQualifier
MAP_MSTR_IK 20P 47 2300P_AMT02_PatientAmountPaid
MAP_MSTR_IK 20P 48 2300P_REF01_ClaimReferenceNumberQualifier_1
MAP_MSTR_IK 20P 49 2300P_REF02_ClaimReferenceNumber_1
MAP_MSTR_IK 20P 50 2300P_REF01_ClaimReferenceNumberQualifier_2
MAP_MSTR_IK 20P 51 2300P_REF02_ClaimReferenceNumber_2
MAP_MSTR_IK 20P 52 2300P_REF01_ClaimReferenceNumberQualifier_3
MAP_MSTR_IK 20P 53 2300P_REF02_ClaimReferenceNumber_3
MAP_MSTR_IK 20P 54 2300P_REF01_ClaimReferenceNumberQualifier_4
MAP_MSTR_IK 20P 55 2300P_REF02_ClaimReferenceNumber_4
MAP_MSTR_IK 20P 56 2300P_REF01_ClaimReferenceNumberQualifier_5
MAP_MSTR_IK 20P 57 2300P_REF02_ClaimReferenceNumber_5
MAP_MSTR_IK 20P 58 2300P_REF01_ClaimReferenceNumberQualifier_6
MAP_MSTR_IK 20P 59 2300P_REF02_ClaimReferenceNumber_6
MAP_MSTR_IK 20P 60 2300P_REF01_ClaimReferenceNumberQualifier_7
MAP_MSTR_IK 20P 61 2300P_REF02_ClaimReferenceNumber_7
MAP_MSTR_IK 20P 62 2300P_REF01_ClaimReferenceNumberQualifier_8
MAP_MSTR_IK 20P 63 2300P_REF02_ClaimReferenceNumber_8
MAP_MSTR_IK 20P 64 2300P_NTE01_ClaimNoteType
MAP_MSTR_IK 20P 65 2300P_NTE02_ClaimNote 2300 NTE NTE02
MAP_MSTR_IK 20P 66 20P_Ambulance_Transport_Count
MAP_MSTR_IK 20P 67 2300P_CR101_AmbPatientWeightQualifier
MAP_MSTR_IK 20P 68 2300P_CR102_AmbulancePatientWeight
MAP_MSTR_IK 20P 69 2300P_CR104_AmbulanceTransportReason
MAP_MSTR_IK 20P 70 2300P_CR105_AmbulanceMeasure
MAP_MSTR_IK 20P 71 2300P_CR106_AmbulanceDistance
MAP_MSTR_IK 20P 72 2300P_CR109_AmbulanceRoundTripDesc
MAP_MSTR_IK 20P 73 2300P_CR110_StretcherPurposeDescription
MAP_MSTR_IK 20P 74 2300P_CRC01_ServiceCertificationCategory
MAP_MSTR_IK 20P 75 2300P_CRC02_ServiceCertificationIndicator
MAP_MSTR_IK 20P 76 2300P_CRC03_ConditionIndicatorCode
MAP_MSTR_IK 20P 77 2300P_CRC04_ConditionIndicatorCode
MAP_MSTR_IK 20P 78 2300P_CRC05_ConditionIndicatorCode
MAP_MSTR_IK 20P 79 2300P_CRC06_ConditionIndicatorCode
MAP_MSTR_IK 20P 80 2300P_CRC07_ConditionIndicatorCode
MAP_MSTR_IK 20P 81 2300P_HI01-01_DXType_1
MAP_MSTR_IK 20P 82 2300P_HI01-02_DXCode_1
MAP_MSTR_IK 20P 105 2310AP_NM101_ProviderRole
MAP_MSTR_IK 20P 106 2310AP_NM102_PersonIndicator
MAP_MSTR_IK 20P 107 2310AP_NM103_LastName
MAP_MSTR_IK 20P 108 2310AP_NM104_FirstName
MAP_MSTR_IK 20P 109 2310AP_NM105_MiddleName
MAP_MSTR_IK 20P 110 2310AP_NM107_Suffix
MAP_MSTR_IK 20P 111 2310AP_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 20P 112 2310AP_NM109_ProviderIdentifier
MAP_MSTR_IK 20P 113 2310AP_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20P 114 2310AP_REF02_ProviderIdentifier
MAP_MSTR_IK 20P 115 2310AP_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20P 116 2310AP_REF02_ProviderIdentifier
MAP_MSTR_IK 20P 117 2310BP_NM101_ProviderRole
MAP_MSTR_IK 20P 118 2310BP_NM102_PersonIndicator
MAP_MSTR_IK 20P 119 2310BP_NM103_LastName
MAP_MSTR_IK 20P 120 2310BP_NM104_FirstName
MAP_MSTR_IK 20P 121 2310BP_NM105_MiddleName
MAP_MSTR_IK 20P 122 2310BP_NM107_Suffix
MAP_MSTR_IK 20P 123 2310BP_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 20P 124 2310BP_NM109_ProviderIdentifier
MAP_MSTR_IK 20P 125 2310BP_PRV01_ProviderCode
MAP_MSTR_IK 20P 126 2310BP_PRV02_ProviderCodeQualifer
MAP_MSTR_IK 20P 127 2310BP_PRV03_ProviderTaxonomy
MAP_MSTR_IK 20P 128 2310BP_REF01_ProviderIdentifierQualifer_1
MAP_MSTR_IK 20P 129 2310BP_REF02_ProviderIdentifier_1
MAP_MSTR_IK 20P 130 2310BP_REF01_ProviderIdentifierQualifer_2
MAP_MSTR_IK 20P 131 2310BP_REF02_ProviderIdentifier_2
MAP_MSTR_IK 20P 132 20P_RenderingProviderAddress1
MAP_MSTR_IK 20P 133 20P_RenderingProviderAddress2
MAP_MSTR_IK 20P 134 20P_RenderingProviderCity
MAP_MSTR_IK 20P 135 20P_RenderingProviderState
MAP_MSTR_IK 20P 136 20P_RenderingProviderZip
MAP_MSTR_IK 20P 137 2310CP_NM101_ProviderRole
MAP_MSTR_IK 20P 138 2310CP_NM102_PersonIndicator
MAP_MSTR_IK 20P 139 2310CP_NM103_LastName
MAP_MSTR_IK 20P 140 2310CP_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 20P 141 2310CP_NM109_ProviderIdentifier
MAP_MSTR_IK 20P 142 2310CP_N301_AddressLine1
MAP_MSTR_IK 20P 143 2310CP_N302_AddressLine2
MAP_MSTR_IK 20P 144 2310CP_N401_City
MAP_MSTR_IK 20P 145 2310CP_N402_State
MAP_MSTR_IK 20P 146 2310CP_N403_PostalCode
MAP_MSTR_IK 20P 147 2310CP_N404_Country
MAP_MSTR_IK 20P 148 2310CP_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20P 149 2310CP_REF02_ProviderIdentifier
MAP_MSTR_IK 20P 150 2310DP_NM101_ProviderRole
MAP_MSTR_IK 20P 151 2310DP_NM102_PersonIndicator
MAP_MSTR_IK 20P 152 2310DP_NM103_LastName
MAP_MSTR_IK 20P 153 2310DP_NM104_FirstName
MAP_MSTR_IK 20P 154 2310DP_NM105_MiddleName
MAP_MSTR_IK 20P 155 2310DP_NM107_Suffix
MAP_MSTR_IK 20P 156 2310DP_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 20P 157 2310DP_NM109_ProviderIdentifier
MAP_MSTR_IK 20P 158 2310DP_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20P 159 2310DP_REF02_ProviderIdentifier
MAP_MSTR_IK 20P 160 2310EP_NM101_ProviderRole
MAP_MSTR_IK 20P 161 2310EP_NM102_PersonIndicator
MAP_MSTR_IK 20P 162 2310EP_N301_AddressLine1
MAP_MSTR_IK 20P 163 2310EP_N302_AddressLine2
MAP_MSTR_IK 20P 164 2310EP_N401_City
MAP_MSTR_IK 20P 165 2310EP_N402_State
MAP_MSTR_IK 20P 166 2310EP_N403_PostalCode
MAP_MSTR_IK 20P 167 2310EP_N404_Country
MAP_MSTR_IK 20P 168 2310EP_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20P 169 2310EP_REF02_ProviderIdentifier
MAP_MSTR_IK 20P 170 2310FP_NM101_ProviderRole
MAP_MSTR_IK 20P 171 2310FP_NM102_PersonIndicator
MAP_MSTR_IK 20P 172 2310FP_NM103_ORG_LastName
MAP_MSTR_IK 20P 173 2310FP_N301_AddressLine1
MAP_MSTR_IK 20P 174 2310FP_N302_AddressLine2
MAP_MSTR_IK 20P 175 2310FP_N401_City
MAP_MSTR_IK 20P 176 2310FP_N402_State
MAP_MSTR_IK 20P 177 2310FP_N403_PostalCode
MAP_MSTR_IK 20P 178 2310FP_N404_Country
MAP_MSTR_IK 20P 179 2310FP_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20P 180 2310FP_REF02_ProviderIdentifier
MAP_MSTR_IK 20P 181 2300P_PWK01_AttachmentReportType
MAP_MSTR_IK 20P 182 2300P_PWK02_AttachmentTransmissionCode
MAP_MSTR_IK 20P 183 2300P_PWK06_AttachmentControlNumber
MAP_MSTR_IK 20P 184 2300P_REF01_InvestigationalDeviceExemptionNumber_Qualifier
MAP_MSTR_IK 20P 185 2300P_REF02_InvestigationalDeviceExemptionNumber
MAP_MSTR_IK 20P 186 2300P_REF01_ServiceAuthorizationExceptionCode_Qualifier
MAP_MSTR_IK 20P 187 2300P_REF02_ServiceAuthorizationExceptionCode
MAP_MSTR_IK 20P 188 2300P_REF01_MammographyCertificationNumber_Qualifier
MAP_MSTR_IK 20P 189 2300P_REF01_MammographyCertificationNumber
MAP_MSTR_IK 20P 190 2300P_CR208_PatientConditionCode
MAP_MSTR_IK 20P 191 2300P_CR210_PatientDescription
MAP_MSTR_IK 20P 192 2300P_CR211_PatientDescription
MAP_MSTR_IK 20P 193 2300P_HI101-2_AnesthesiaRelatedSurgicalProcedure
MAP_MSTR_IK 20P 194 2300P_HI102-2_AnesthesiaRelatedSurgicalProcedure
MAP_MSTR_IK 20P 195 2300P_DTP01_DateTimeQualifier_7
MAP_MSTR_IK 20P 196 2300P_DTP02_FormatQualifier_7
MAP_MSTR_IK 20P 197 2300P_DTP03_DateTime_7
MAP_MSTR_IK 20P 198 2300P_DTP01_DateTimeQualifier_8
MAP_MSTR_IK 20P 199 2300P_DTP02_FormatQualifier_8
MAP_MSTR_IK 20P 200 2300P_DTP03_DateTime_8
MAP_MSTR_IK 20P 201 2300P_DTP01_DateTimeQualifier_9
MAP_MSTR_IK 20P 202 2300P_DTP02_FormatQualifier_9
MAP_MSTR_IK 20P 203 2300P_DTP03_DateTime_9
MAP_MSTR_IK 20P 204 2300P_DTP01_DateTimeQualifier_10
MAP_MSTR_IK 20P 205 2300P_DTP02_FormatQualifier_10
MAP_MSTR_IK 20P 206 2300P_DTP03_DateTime_10
MAP_MSTR_IK 20P 207 2300P_DTP01_DateTimeQualifier_11
MAP_MSTR_IK 20P 208 2300P_DTP02_FormatQualifier_11
MAP_MSTR_IK 20P 209 2300P_DTP03_DateTime_11
MAP_MSTR_IK 20P 210 2300P_DTP01_DateTimeQualifier_12
MAP_MSTR_IK 20P 211 2300P_DTP02_FormatQualifier_12
MAP_MSTR_IK 20P 212 2300P_DTP03_DateTime_12
MAP_MSTR_IK 20P 213 2300P_DTP01_DateTimeQualifier_13
MAP_MSTR_IK 20P 214 2300P_DTP02_FormatQualifier_13
MAP_MSTR_IK 20P 215 2300P_DTP03_DateTime_13
MAP_MSTR_IK 20P 216 2300P_DTP01_DateTimeQualifier_14
MAP_MSTR_IK 20P 217 2300P_DTP02_FormatQualifier_14
MAP_MSTR_IK 20P 218 2300P_DTP03_DateTime_14
MAP_MSTR_IK 20P 219 2300P_DTP01_DateTimeQualifier_15
MAP_MSTR_IK 20P 220 2300P_DTP02_FormatQualifier_15
MAP_MSTR_IK 20P 221 2300P_DTP03_DateTime_15
MAP_MSTR_IK 20P 222 2300P_DTP01_DateTimeQualifier_16
MAP_MSTR_IK 20P 223 2300P_DTP02_FormatQualifier_16
MAP_MSTR_IK 20P 224 2300P_DTP03_DateTime_16
MAP_MSTR_IK 20P 225 2300P_HCP01_PricingMethodology
MAP_MSTR_IK 20P 226 2300P_HCP02_RepricedAllowedAmount
MAP_MSTR_IK 20P 227 2300P_HCP03_RepricedSavingAmount
MAP_MSTR_IK 20P 228 2300P_HCP04_RepricingOrganizationIdentifier
MAP_MSTR_IK 20P 229 2300P_HCP05_RepricingPerDiemAmount
MAP_MSTR_IK 20P 230 2300P_HCP06_RepricedApprovedAmbulatoryPatientGroupCode
MAP_MSTR_IK 20P 231 2300P_HCP07_RepricedApprovedAmbulatoryPatientGroupAmount
MAP_MSTR_IK 20P 232 2300P_HCP13_RejectReasonCode
MAP_MSTR_IK 20P 233 2300P_HCP14_PolicyComplianceCode
MAP_MSTR_IK 20P 234 2300P_HCP15_ExceptionCode
MAP_MSTR_IK 20P 235 2300P_HI01-01_ConditionCodeQualifier
MAP_MSTR_IK 20P 236 2300P_HI01-02_ConditionCode
MAP_MSTR_IK 20P 259 2300P_REF01_FileInformation_Qualifier
MAP_MSTR_IK 20P 260 2300P_REF01_FileInformation
MAP_MSTR_IK 20P 261 Claim Processor Receiver Date
MAP_MSTR_IK 20P 262 InNetworkIndicator
MAP_MSTR_IK 20P 263 PatientControlNumber
MAP_MSTR_IK 20P 264 20P-Filler 04
MAP_MSTR_IK 20P 265 20P-Filler 05
MAP_MSTR_IK 20P 266 20P-Filler 06
MAP_MSTR_IK 20P 267 20P-Filler 07
MAP_MSTR_IK 20P 268 20P-Filler 08
MAP_MSTR_IK 20P 269 20P-Filler 09
MAP_MSTR_IK 20P 270 20P-Filler 10
MAP_MSTR_IK 20P 271 20P-Filler 11
MAP_MSTR_IK 20P 272 20P-Filler 12
MAP_MSTR_IK 20P 273 20P-Filler 13
MAP_MSTR_IK 20P 274 20P-Filler 14
MAP_MSTR_IK 20P 275 20P-Filler 15
MAP_MSTR_IK 20P 276 2300P_HI13-01_ConditionCodeQualifier
MAP_MSTR_IK 20P 277 2300P_HI13-02_ConditionCode
MAP_MSTR_IK 20P 300 2300P_REF01_FileInformation2
MAP_MSTR_IK 20P 301 2300P_REF01_FileInformation3
MAP_MSTR_IK 20P 302 2300P_REF01_FileInformation4
MAP_MSTR_IK 20P 303 2300P_REF01_FileInformation5
MAP_MSTR_IK 20P 304 2300P_REF01_FileInformation6
MAP_MSTR_IK 20P 305 2300P_REF01_FileInformation7
MAP_MSTR_IK 20P 306 2300P_REF01_FileInformation8
MAP_MSTR_IK 20P 307 2300P_REF01_FileInformation9
MAP_MSTR_IK 20P 308 2300P_REF01_FileInformation10
MAP_MSTR_IK 20P 309 RenderingProviderSpecialty
MAP_MSTR_IK 20P 310 Special Need Ind
MAP_MSTR_IK 20P 311 Type of Attendant
MAP_MSTR_IK 20P 312 Number of Individuals Accompanying
MAP_MSTR_IK 20P 313 Was beneficiary picked up
MAP_MSTR_IK 20P 314 Date trip was requested
MAP_MSTR_IK 20I 1 20I Record (Institutional - Occurs Once)
MAP_MSTR_IK 20I 2 20I KEY
MAP_MSTR_IK 20I 3 2300I_CLM01_ClaimNumber
MAP_MSTR_IK 20I 4 2300I_CLM02_TotalClaimCharge
MAP_MSTR_IK 20I 5 2300I_CLM05-01_FacilityTypeCode
MAP_MSTR_IK 20I 6 2300I_CLM05-02_BillTypeQualifier
MAP_MSTR_IK 20I 7 2300I_CLM05-03_ClaimFrequencyCode
MAP_MSTR_IK 20I 8 2300I_CLM07_MedicareAssignment
MAP_MSTR_IK 20I 9 2300I_CLM08_BenefitAssignmentIndicator
MAP_MSTR_IK 20I 10 2300I_CLM09_ReleaseOfInformation
MAP_MSTR_IK 20I 11 2300I_CLM20_DelayReason
MAP_MSTR_IK 20I 12 2300I_DTP01_DateTimeQualifier_1
MAP_MSTR_IK 20I 13 2300I_DTP02_FormatQualifier_1
MAP_MSTR_IK 20I 14 2300I_DTP03_DateTime_1
MAP_MSTR_IK 20I 15 2300I_DTP01_DateTimeQualifier_2
MAP_MSTR_IK 20I 16 2300I_DTP02_FormatQualifier_2
MAP_MSTR_IK 20I 17 2300I_DTP03_DateTime_2
MAP_MSTR_IK 20I 18 2300I_DTP01_DateTimeQualifier_3
MAP_MSTR_IK 20I 19 2300I_DTP02_FormatQualifier_3
MAP_MSTR_IK 20I 20 2300I_DTP03_DateTime_3
MAP_MSTR_IK 20I 21 2300I_DTP01_DateTimeQualifier_4
MAP_MSTR_IK 20I 22 2300I_DTP02_FormatQualifier_4
MAP_MSTR_IK 20I 23 2300I_DTP03_DateTime_4
MAP_MSTR_IK 20I 24 2300I_CL101_AdmissionType
MAP_MSTR_IK 20I 25 2300I_CL102_AdmissionSource
MAP_MSTR_IK 20I 26 2300I_CL103_PatientStatus
MAP_MSTR_IK 20I 27 2300I_CN101_ContractTypeCode
MAP_MSTR_IK 20I 28 2300I_CN102_MonetaryAmount
MAP_MSTR_IK 20I 29 2300I_CN103_ContractPercentage
MAP_MSTR_IK 20I 30 2300I_CN104_ContractCode
MAP_MSTR_IK 20I 31 2300I_CN105_TermsDiscountPercent
MAP_MSTR_IK 20I 32 2300I_CN106_ContractVersionIdentifier
MAP_MSTR_IK 20I 33 2300I_AMT01_AmountQualifier
MAP_MSTR_IK 20I 34 2300I_AMT02_PatientAmountDue
MAP_MSTR_IK 20I 35 2300I_REF01_ClaimReferenceNumberQualifier_1
MAP_MSTR_IK 20I 36 2300I_REF02_ClaimReferenceNumber_1
MAP_MSTR_IK 20I 37 2300I_REF01_ClaimReferenceNumberQualifier_2
MAP_MSTR_IK 20I 38 2300I_REF02_ClaimReferenceNumber_2
MAP_MSTR_IK 20I 39 2300I_REF01_ClaimReferenceNumberQualifier_3
MAP_MSTR_IK 20I 40 2300I_REF02_ClaimReferenceNumber_3
MAP_MSTR_IK 20I 41 2300I_REF01_ClaimReferenceNumberQualifier_4
MAP_MSTR_IK 20I 42 2300I_REF02_ClaimReferenceNumber_4
MAP_MSTR_IK 20I 43 2300I_REF01_ClaimReferenceNumberQualifier_5
MAP_MSTR_IK 20I 44 2300I_REF02_ClaimReferenceNumber_5
MAP_MSTR_IK 20I 45 2300I_REF01_ClaimReferenceNumberQualifier_6
MAP_MSTR_IK 20I 46 2300I_REF02_ClaimReferenceNumber_6
MAP_MSTR_IK 20I 47 2300I_REF01_ClaimReferenceNumberQualifier_7
MAP_MSTR_IK 20I 48 2300I_REF02_ClaimReferenceNumber_7
MAP_MSTR_IK 20I 49 2300I_REF01_ClaimReferenceNumberQualifier_8
MAP_MSTR_IK 20I 50 2300I_REF02_ClaimReferenceNumber_8
MAP_MSTR_IK 20I 51 2300I_NTE01_ClaimNoteType
MAP_MSTR_IK 20I 52 2300I_NTE02_ClaimNote
MAP_MSTR_IK 20I 53 2300I_NTE01_BillNoteType
MAP_MSTR_IK 20I 54 2300I_NTE01_BillNote
MAP_MSTR_IK 20I 55 2300I_CRC01_ServiceCertificationCategory
MAP_MSTR_IK 20I 56 2300I_CRC02_ServiceCertificationIndicator
MAP_MSTR_IK 20I 57 2300I_CRC03_ConditionIndicatorCode
MAP_MSTR_IK 20I 58 2300I_CRC04_ConditionIndicatorCode
MAP_MSTR_IK 20I 59 2300I_CRC05_ConditionIndicatorCode
MAP_MSTR_IK 20I 60 2300I_HI01-01_PrinDXType
MAP_MSTR_IK 20I 61 2300I_HI01-02_PrincipalDXCode
MAP_MSTR_IK 20I 62 2300I_HI01-09_PrincipalDXPOA
MAP_MSTR_IK 20I 63 2300I_HI01-01_AdmittingDXType
MAP_MSTR_IK 20I 64 2300I_HI01-02_AdmittingDXCode
MAP_MSTR_IK 20I 65 2300I_HI01-01_PatientDXType
MAP_MSTR_IK 20I 66 2300I_HI01-02_PatientDXCode
MAP_MSTR_IK 20I 67 2300I_HI02-01_PatientDXType
MAP_MSTR_IK 20I 68 2300I_HI02-02_PatientDXCode
MAP_MSTR_IK 20I 69 2300I_HI03-01_PatientDXType
MAP_MSTR_IK 20I 70 2300I_HI03-02_PatientDXCode
MAP_MSTR_IK 20I 71 2300I_HI01-01_ECIDXType
MAP_MSTR_IK 20I 72 2300I_HI01-02_ECIDXCode
MAP_MSTR_IK 20I 73 2300I_HI01-09_ECIDXPOA
MAP_MSTR_IK 20I 107 2300I_HI01-01_DRGType
MAP_MSTR_IK 20I 108 2300I_HI01-02_DRGCode
MAP_MSTR_IK 20I 109 20I_DRG_Version
MAP_MSTR_IK 20I 110 20I_DRG_Severity
MAP_MSTR_IK 20I 111 20I_DRG_Risk
MAP_MSTR_IK 20I 112 2300I_HI01-01_DXType_1
MAP_MSTR_IK 20I 113 2300I_HI01-02_DXCode_1
MAP_MSTR_IK 20I 114 2300I_HI01-09_DXPOA_1
MAP_MSTR_IK 20I 190 2300I_HI01-01_PrincipalPXType
MAP_MSTR_IK 20I 191 2300I_HI01-02_PrincipalPXCode
MAP_MSTR_IK 20I 192 2300I_HI01-03_PrincipalPXDateQualifier
MAP_MSTR_IK 20I 193 2300I_HI01-04_PrincipalPXDate
MAP_MSTR_IK 20I 194 2300I_HI01-01_PXType_1
MAP_MSTR_IK 20I 195 2300I_HI01-02_PXCode_1
MAP_MSTR_IK 20I 196 2300I_HI01-03_PXDateQualifier_1
MAP_MSTR_IK 20I 197 2300I_HI01-04_PXDate_1
MAP_MSTR_IK 20I 241 2300I_HI12-04_PXDate_1
MAP_MSTR_IK 20I 290 2300I_HI01-01_OccurSpanType
MAP_MSTR_IK 20I 291 2300I_HI01-02_OccurSpanCode
MAP_MSTR_IK 20I 292 2300I_HI01-03_OccurSpanDateQualifier
MAP_MSTR_IK 20I 338 2300I_HI01-01_OccurType
MAP_MSTR_IK 20I 339 2300I_HI01-02_OccurCode
MAP_MSTR_IK 20I 340 2300I_HI01-03_OccurDateQualifier
MAP_MSTR_IK 20I 341 2300I_HI01-04_OccurDate
MAP_MSTR_IK 20I 386 2300I_HI01-01_ValueCodeQualifer_1
MAP_MSTR_IK 20I 387 2300I_HI01-02_ValueCode_1
MAP_MSTR_IK 20I 388 2300I_HI01-05_ValueCodeAmount_1
MAP_MSTR_IK 20I 458 2300I_HI01-01_ConditionCodeQualifier
MAP_MSTR_IK 20I 459 2300I_HI01-02_ConditionCode
MAP_MSTR_IK 20I 482 2300I_HI01-01_TreatmentCode
MAP_MSTR_IK 20I 483 2300I_HI01-02_TreatmentCode
MAP_MSTR_IK 20I 506 2300I_HCP01_PricingMethod
MAP_MSTR_IK 20I 507 2300I_HCP02_AllowedAmount
MAP_MSTR_IK 20I 508 2300I_HCP03_SavingAmount
MAP_MSTR_IK 20I 509 2300I_HCP04_OrgID
MAP_MSTR_IK 20I 510 2300I_HCP05_PricingRate
MAP_MSTR_IK 20I 511 2300I_HCP06_ApprovedDRGCode
MAP_MSTR_IK 20I 512 2300I_HCP07_ApprovedDRGAmount
MAP_MSTR_IK 20I 513 2300I_HCP08_ApprovedRevenueCode
MAP_MSTR_IK 20I 514 2300I_HCP11_Units
MAP_MSTR_IK 20I 515 2300I_HCP12_Quatity
MAP_MSTR_IK 20I 516 2300I_HCP13_RejectReason
MAP_MSTR_IK 20I 517 2300I_HCP14_PolicyCompliance
MAP_MSTR_IK 20I 518 2300I_HCP15_ExceptionCode
MAP_MSTR_IK 20I 519 2310AI_NM101_ProviderRole
MAP_MSTR_IK 20I 520 2310AI_NM102_PersonIndicator
MAP_MSTR_IK 20I 521 2310AI_NM103_LastName
MAP_MSTR_IK 20I 522 2310AI_NM104_FirstName
MAP_MSTR_IK 20I 523 2310AI_NM105_MiddleName
MAP_MSTR_IK 20I 524 2310AI_NM107_Suffix
MAP_MSTR_IK 20I 525 2310AI_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 526 2310AI_NM109_ProviderIdentifier
MAP_MSTR_IK 20I 527 2310AI_PRV01_ProviderCode
MAP_MSTR_IK 20I 528 2310AI_PRV02_ProviderCodeQualifer
MAP_MSTR_IK 20I 529 2310AI_PRV03_ProviderTaxonomy
MAP_MSTR_IK 20I 530 2310AI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 531 2310AI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 532 2310AI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 533 2310AI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 534 2310BI_NM101_ProviderRole
MAP_MSTR_IK 20I 535 2310BI_NM102_PersonIndicator
MAP_MSTR_IK 20I 536 2310BI_NM103_LastName
MAP_MSTR_IK 20I 537 2310BI_NM104_FirstName
MAP_MSTR_IK 20I 538 2310BI_NM105_MiddleName
MAP_MSTR_IK 20I 539 2310BI_NM107_Suffix
MAP_MSTR_IK 20I 540 2310BI_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 541 2310BI_NM109_ProviderIdentifier
MAP_MSTR_IK 20I 542 2310BI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 543 2310BI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 544 2310BI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 545 2310BI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 546 2310CI_NM101_ProviderRole
MAP_MSTR_IK 20I 547 2310CI_NM102_PersonIndicator
MAP_MSTR_IK 20I 548 2310CI_NM103_LastName
MAP_MSTR_IK 20I 549 2310CI_NM104_FirstName
MAP_MSTR_IK 20I 550 2310CI_NM105_MiddleName
MAP_MSTR_IK 20I 551 2310CI_NM107_Suffix
MAP_MSTR_IK 20I 552 2310CI_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 553 2310CI_NM109_ProviderIdentifier
MAP_MSTR_IK 20I 554 2310CI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 555 2310CI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 556 2310CI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 557 2310CI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 558 2310DI_NM101_ProviderRole
MAP_MSTR_IK 20I 559 2310DI_NM102_PersonIndicator
MAP_MSTR_IK 20I 560 2310DI_NM103_LastName
MAP_MSTR_IK 20I 561 2310DI_NM104_FirstName
MAP_MSTR_IK 20I 562 2310DI_NM105_MiddleName
MAP_MSTR_IK 20I 563 2310DI_NM107_Suffix
MAP_MSTR_IK 20I 564 2310DI_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 565 2310DI_NM109_ProviderIdentifier
MAP_MSTR_IK 20I 566 2310DI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 567 2310DI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 568 2310DI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 569 2310DI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 570 20I_RenderingProviderAddress1
MAP_MSTR_IK 20I 571 20I_RenderingProviderAddress2
MAP_MSTR_IK 20I 572 20I_RenderingProviderCity
MAP_MSTR_IK 20I 573 20I_RenderingProviderState
MAP_MSTR_IK 20I 574 20I_RenderingProviderZip
MAP_MSTR_IK 20I 575 2310EI_NM101_ProviderRole
MAP_MSTR_IK 20I 576 2310EI_NM102_PersonIndicator
MAP_MSTR_IK 20I 577 2310EI_NM103_ORG_LastName
MAP_MSTR_IK 20I 578 2310EI_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 579 2310EI_NM109_ProviderIdentifier
MAP_MSTR_IK 20I 580 2310EI_N301_AddressLine1
MAP_MSTR_IK 20I 581 2310EI_N302_AddressLine2
MAP_MSTR_IK 20I 582 2310EI_N401_City
MAP_MSTR_IK 20I 583 2310EI_N402_State
MAP_MSTR_IK 20I 584 2310EI_N403_PostalCode
MAP_MSTR_IK 20I 585 2310EI_N404_Country
MAP_MSTR_IK 20I 586 2310EI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 587 2310EI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 588 2310EI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 589 2310EI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 590 2310FI_NM101_ProviderRole
MAP_MSTR_IK 20I 591 2310FI_NM102_PersonIndicator
MAP_MSTR_IK 20I 592 2310FI_NM103_LastName
MAP_MSTR_IK 20I 593 2310FI_NM104_FirstName
MAP_MSTR_IK 20I 594 2310FI_NM105_MiddleName
MAP_MSTR_IK 20I 595 2310FI_NM107_Suffix
MAP_MSTR_IK 20I 596 2310FI_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 597 2310FI_NM109_ProviderIdentifier
MAP_MSTR_IK 20I 598 2310FI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 599 2310FI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 600 2310FI_REF01_ProviderIdentifierQualifer
MAP_MSTR_IK 20I 601 2310FI_REF02_ProviderIdentifier
MAP_MSTR_IK 20I 602 2300I_PWK01_AttachmentReportType
MAP_MSTR_IK 20I 603 2300I_PWK02_AttachmentTransmissionCode
MAP_MSTR_IK 20I 604 2300I_PWK06_AttachmentControlNumber
MAP_MSTR_IK 20I 605 2300I_REF01_ServiceAuthorizationExceptionCode_Qualifier 2300 REF REF01 NOT MAPPED
MAP_MSTR_IK 20I 606 2300I_REF02_ServiceAuthorizationExceptionCode 2300 REF REF9U
MAP_MSTR_IK 20I 607 2300I_REF01_InvestigationalDeviceExemptionNumber_Qualifier
MAP_MSTR_IK 20I 608 2300I_REF02_InvestigationalDeviceExemptionNumber
MAP_MSTR_IK 20I 609 2300I_REF01_DemonstrationProject_Qualifier
MAP_MSTR_IK 20I 610 2300I_REF02_DemonstrationProjectIdentifier
MAP_MSTR_IK 20I 611 2300I_REF01_PeerReviewOrganization_Qualifier
MAP_MSTR_IK 20I 612 2300I_REF02_PeerReviewOrganizationNumber
MAP_MSTR_IK 20I 613 2300I_REF01_FileInformation_Qualifier
MAP_MSTR_IK 20I 614 2300I_REF01_FileInformation
MAP_MSTR_IK 20I 615 Claim Processor Receiver Date
MAP_MSTR_IK 20I 616 InNetworkIndicator
MAP_MSTR_IK 20I 617 PatientControlNumber
MAP_MSTR_IK 20I 618 20I-Filler 04
MAP_MSTR_IK 20I 619 20I-Filler 05
MAP_MSTR_IK 20I 620 20I-Filler 06
MAP_MSTR_IK 20I 621 20I-Filler 07
MAP_MSTR_IK 20I 622 20I-Filler 08
MAP_MSTR_IK 20I 623 20I-IFiller 09
MAP_MSTR_IK 20I 624 20I-IFiller 10
MAP_MSTR_IK 20I 625 20I-IFiller 11
MAP_MSTR_IK 20I 626 20I-IFiller 12
MAP_MSTR_IK 20I 627 20I-IFiller 13
MAP_MSTR_IK 20I 628 20I-IFiller 14
MAP_MSTR_IK 20I 629 20I-IFiller 15
MAP_MSTR_IK 20I 774 2300I_REF01_FileInformation2
MAP_MSTR_IK 20I 775 2300I_REF01_FileInformation3
MAP_MSTR_IK 20I 776 2300I_REF01_FileInformation4
MAP_MSTR_IK 20I 777 2300I_REF01_FileInformation5
MAP_MSTR_IK 20I 778 2300I_REF01_FileInformation6
MAP_MSTR_IK 20I 779 2300I_REF01_FileInformation7
MAP_MSTR_IK 20I 780 2300I_REF01_FileInformation8
MAP_MSTR_IK 20I 781 2300I_REF01_FileInformation9
MAP_MSTR_IK 20I 782 2300I_REF01_FileInformation10
MAP_MSTR_IK 20I 783 Service Facility Secondary Identification Code Qualifier
MAP_MSTR_IK 20I 784 Service Facility Identifier
MAP_MSTR_IK 310 1 310 Record (OTHER SUBSCRIBER, PAYER, CLAIM LEVEL CAS)
MAP_MSTR_IK 310 2 310 KEY
MAP_MSTR_IK 310 3 2320_SBR01_PayerResponsibilitySequence
MAP_MSTR_IK 310 4 2320_SBR02_SubscriberRelationship
MAP_MSTR_IK 310 5 2320_SBR03_PolicyNumber
MAP_MSTR_IK 310 6 310_ProductIDNumber
MAP_MSTR_IK 310 7 310_DelegatedBenefitAdminOrgID
MAP_MSTR_IK 310 8 2320_SBR04_InsuredGroupName
MAP_MSTR_IK 310 9 2320_SBR05_InsuranceType
MAP_MSTR_IK 310 10 2320_SBR09_ClaimFilingIndicator
MAP_MSTR_IK 310 11 310_ClaimDisposition
MAP_MSTR_IK 310 12 310_RiskAssessmentCode_1
MAP_MSTR_IK 310 36 2320_ClaimLevelDenial_1
MAP_MSTR_IK 310 46 2320_CAS01_ClaimAdjustmentGroup_1
MAP_MSTR_IK 310 47 2320_CAS02_ClaimAdjustmentReason_1
MAP_MSTR_IK 310 48 2320_CAS03_ClaimAdjustmentAmount_1
MAP_MSTR_IK 310 141 2320_AMT01_AmountQualifier_1
MAP_MSTR_IK 310 142 2320_AMT02_COBAmount_1
MAP_MSTR_IK 310 143 2320_AMT01_AmountQualifier_2
MAP_MSTR_IK 310 144 2320_AMT02_COBAmount_2
MAP_MSTR_IK 310 145 2320_AMT01_AmountQualifier_3
MAP_MSTR_IK 310 146 2320_AMT02_COBAmount_3
MAP_MSTR_IK 310 147 2320_OI03_AssignBenefitsIndicator
MAP_MSTR_IK 310 148 2320_OI04_PatientSignature
MAP_MSTR_IK 310 149 2320_OI06_ReleaseOfInformation
MAP_MSTR_IK 310 150 2320_MIA01_AdjudQuantity
MAP_MSTR_IK 310 151 2320_MIA03_AdjudQuantity
MAP_MSTR_IK 310 152 2320_MIA04_AdjudAmount
MAP_MSTR_IK 310 153 2320_MIA05_RemarkCode
MAP_MSTR_IK 310 168 2320_MIA20_RemarkCode
MAP_MSTR_IK 310 169 2320_MIA21_RemarkCode
MAP_MSTR_IK 310 170 2320_MIA22_RemarkCode
MAP_MSTR_IK 310 171 2320_MIA23_RemarkCode
MAP_MSTR_IK 310 172 2320_MIA24_AdjudAmount
MAP_MSTR_IK 310 173 2320_MOA01_AdjudAmount
MAP_MSTR_IK 310 174 2320_MOA02_AdjudAmount
MAP_MSTR_IK 310 182 2330A_NM101_PersonRole
MAP_MSTR_IK 310 183 2330A_NM102_PersonIndicator
MAP_MSTR_IK 310 184 2330A_NM103_LastName
MAP_MSTR_IK 310 185 2330A_NM104_FirstName
MAP_MSTR_IK 310 186 2330A_NM105_MiddleName
MAP_MSTR_IK 310 187 2330A_NM107_Suffix
MAP_MSTR_IK 310 188 2330A_NM108_PersonIdentifierQualifier
MAP_MSTR_IK 310 189 2330A_NM109_PersonIdentifier
MAP_MSTR_IK 310 190 2330A_N301_AddressLine1
MAP_MSTR_IK 310 191 2330A_N302_AddressLine2
MAP_MSTR_IK 310 192 2330A_N401_City
MAP_MSTR_IK 310 193 2330A_N402_State
MAP_MSTR_IK 310 194 2330A_N403_PostalCode
MAP_MSTR_IK 310 195 2330A_N404_Country
MAP_MSTR_IK 310 196 2330B_NM101_OrganizationRole
MAP_MSTR_IK 310 197 2330B_NM102_PersonIndicator
MAP_MSTR_IK 310 198 2330B_NM103_Name
MAP_MSTR_IK 310 199 2330B_NM108_OrganizationIdQualifier
MAP_MSTR_IK 310 200 2330B_NM109_OrganizationIdentifier
MAP_MSTR_IK 310 201 2330B_N301_AddressLine1
MAP_MSTR_IK 310 202 2330B_N302_AddressLine2
MAP_MSTR_IK 310 203 2330B_N401_City
MAP_MSTR_IK 310 204 2330B_N402_State
MAP_MSTR_IK 310 205 2330B_N403_PostalCode
MAP_MSTR_IK 310 206 2330B_N404_Country
MAP_MSTR_IK 310 207 2330B_DTP01_DateTimeQualifier
MAP_MSTR_IK 310 208 2330B_DTP02_DateTimeFormat
MAP_MSTR_IK 310 209 2330B_DTP03_ClaimPaidDate
MAP_MSTR_IK 310 210 310_OverPaymentID
MAP_MSTR_IK 310 211 2330B_REF01_OrganizationIdQualifier_1
MAP_MSTR_IK 310 212 2330B_REF01_OrganizationIdentifier_1
MAP_MSTR_IK 310 213 2330B_REF01_OrganizationIdQualifier_2
MAP_MSTR_IK 310 214 2330B_REF01_OrganizationIdentifier_2
MAP_MSTR_IK 310 215 2330B_REF01_OrganizationIdQualifier_2
MAP_MSTR_IK 310 216 2330B_REF01_OrganizationIdentifier_2
MAP_MSTR_IK 310 217 2330B_REF01_OrganizationIdQualifier_3
MAP_MSTR_IK 310 218 2330B_REF01_OrganizationIdentifier_3
MAP_MSTR_IK 310 219 2330B_REF01_OrganizationIdQualifier_3
MAP_MSTR_IK 310 220 2330B_REF01_OrganizationIdentifier_3
MAP_MSTR_IK 310 221 310_ReportBeginDate
MAP_MSTR_IK 310 222 310_ReportEndDate
MAP_MSTR_IK 310 223 310_PaymentYear
MAP_MSTR_IK 310 224 2330B_REF01_AdjudicatedDRGQualifier
MAP_MSTR_IK 310 225 2330B_REF02_AdjudicatedDRG
MAP_MSTR_IK 310 226 2330B_REF04-01_ReferenceIdentificationQualifier
MAP_MSTR_IK 310 227 2330B_REF04-02_DRGGrouperVersion
MAP_MSTR_IK 310 228 310_Rate_Increase_Indicator
MAP_MSTR_IK 310 229 310_Bundle_Indicator
MAP_MSTR_IK 310 230 310_Bundle_Claim_Number
MAP_MSTR_IK 310 231 ClaimApprovedAmount
MAP_MSTR_IK 310 232 310_PaymentCheckDate
MAP_MSTR_IK 310 233 310-Filler 03
MAP_MSTR_IK 310 234 310-Filler 04
MAP_MSTR_IK 310 235 310-Filler 05
MAP_MSTR_IK 310 236 310-Filler 06
MAP_MSTR_IK 310 237 310-Filler 07
MAP_MSTR_IK 310 238 310-Filler 08
MAP_MSTR_IK 310 239 310-Filler 09
MAP_MSTR_IK 310 240 310-Filler 10
MAP_MSTR_IK 310 241 310-Filler 11
MAP_MSTR_IK 310 242 310-Filler 12
MAP_MSTR_IK 310 243 310-Filler 13
MAP_MSTR_IK 310 244 310-Filler 14
MAP_MSTR_IK 310 245 310-Filler 15
MAP_MSTR_IK 310 246 310_RecipientAidCategory
MAP_MSTR_IK 310 247 Other Subscriber SSN Qualifier
MAP_MSTR_IK 310 248 Other Subscriber SSN Identifier
MAP_MSTR_IK 320 1 320 Record
MAP_MSTR_IK 320 2 320 KEY
MAP_MSTR_IK 320 3 2320_SBR01_PayerResponsibilitySequence
MAP_MSTR_IK 320 4 2320_SBR02_SubscriberRelationship
MAP_MSTR_IK 320 5 2320_SBR03_PolicyNumber
MAP_MSTR_IK 320 6 2320_SBR04_InsuredGroupName
MAP_MSTR_IK 320 7 2320_SBR05_InsuranceType
MAP_MSTR_IK 320 8 2320_SBR09_ClaimFilingIndicator
MAP_MSTR_IK 320 9 2320_ClaimLevelDenial_1
MAP_MSTR_IK 320 19 2320_CAS01_ClaimAdjustmentGroup_1
MAP_MSTR_IK 320 20 2320_CAS02_ClaimAdjustmentReason_1
MAP_MSTR_IK 320 21 2320_CAS03_ClaimAdjustmentAmount_1
MAP_MSTR_IK 320 22 2320_CAS04_ClaimAdjustmentquantity_1
MAP_MSTR_IK 320 114 2320_AMT01_AmountQualifier_1
MAP_MSTR_IK 320 115 2320_AMT02_COBAmount_1
MAP_MSTR_IK 320 116 2320_AMT01_AmountQualifier_2
MAP_MSTR_IK 320 117 2320_AMT02_COBAmount_2
MAP_MSTR_IK 320 118 2320_AMT01_AmountQualifier_3
MAP_MSTR_IK 320 119 2320_AMT02_COBAmount_3
MAP_MSTR_IK 320 120 2320_OI03_AssignBenefitsIndicator
MAP_MSTR_IK 320 121 2320_OI04_PatientSignature
MAP_MSTR_IK 320 122 2320_OI06_ReleaseOfInformation
MAP_MSTR_IK 320 123 2320_MIA01_AdjudQuantity
MAP_MSTR_IK 320 124 2320_MIA03_AdjudQuantity
MAP_MSTR_IK 320 125 2320_MIA04_AdjudAmount
MAP_MSTR_IK 320 126 2320_MIA05_RemarkCode
MAP_MSTR_IK 320 146 2320_MOA01_AdjudAmount
MAP_MSTR_IK 320 147 2320_MOA02_AdjudAmount
MAP_MSTR_IK 320 148 2320_MOA03_RemarkCode
MAP_MSTR_IK 320 155 2330A_NM101_PersonRole
MAP_MSTR_IK 320 156 2330A_NM102_PersonIndicator
MAP_MSTR_IK 320 157 2330A_NM103_LastName
MAP_MSTR_IK 320 158 2330A_NM104_FirstName
MAP_MSTR_IK 320 159 2330A_NM105_MiddleName
MAP_MSTR_IK 320 160 2330A_NM107_Suffix
MAP_MSTR_IK 320 161 2330A_NM108_PersonIdentifierQualifier
MAP_MSTR_IK 320 162 2330A_NM109_PersonIdentifier
MAP_MSTR_IK 320 163 2330A_N301_AddressLine1
MAP_MSTR_IK 320 164 2330A_N302_AddressLine2
MAP_MSTR_IK 320 165 2330A_N401_City
MAP_MSTR_IK 320 166 2330A_N402_State
MAP_MSTR_IK 320 167 2330A_N403_PostalCode
MAP_MSTR_IK 320 168 2330A_N404_Country
MAP_MSTR_IK 320 169 2330B_NM101_OrganizationRole
MAP_MSTR_IK 320 170 2330B_NM102_PersonIndicator
MAP_MSTR_IK 320 171 2330B_NM103_Name
MAP_MSTR_IK 320 172 2330B_NM108_OrganizationIdQualifier
MAP_MSTR_IK 320 173 2330B_NM109_OrganizationIdentifier
MAP_MSTR_IK 320 174 2330B_N301_AddressLine1
MAP_MSTR_IK 320 175 2330B_N302_AddressLine2
MAP_MSTR_IK 320 176 2330B_N401_City
MAP_MSTR_IK 320 177 2330B_N402_State
MAP_MSTR_IK 320 178 2330B_N403_PostalCode
MAP_MSTR_IK 320 179 2330B_N404_Country
MAP_MSTR_IK 320 180 2330B_DTP01_DateTimeQualifier
MAP_MSTR_IK 320 181 2330B_DTP02_DateTimeFormat
MAP_MSTR_IK 320 182 2330B_DTP03_ClaimPaidDate
MAP_MSTR_IK 320 183 2330B_REF01_OrganizationIdQualifier_1
MAP_MSTR_IK 320 184 2330B_REF01_OrganizationIdentifier_1
MAP_MSTR_IK 320 185 2330B_REF01_OrganizationIdQualifier_2
MAP_MSTR_IK 320 186 2330B_REF01_OrganizationIdentifier_2
MAP_MSTR_IK 320 187 2330B_REF01_OrganizationIdQualifier_2
MAP_MSTR_IK 320 188 2330B_REF01_OrganizationIdentifier_2
MAP_MSTR_IK 320 189 2330B_REF01_OrganizationIdQualifier_3
MAP_MSTR_IK 320 190 2330B_REF01_OrganizationIdentifier_3
MAP_MSTR_IK 320 191 2330B_REF01_OrganizationIdQualifier_3
MAP_MSTR_IK 320 192 2330B_REF01_OrganizationIdentifier_3
MAP_MSTR_IK 320 193 ClaimApprovedAmount
MAP_MSTR_IK 320 194 320-Filler 02
MAP_MSTR_IK 320 195 320-Filler 03
MAP_MSTR_IK 320 196 320-Filler 04
MAP_MSTR_IK 320 197 320-Filler 05
MAP_MSTR_IK 320 198 320-Filler 06
MAP_MSTR_IK 320 199 320-Filler 07
MAP_MSTR_IK 320 200 320-Filler 08
MAP_MSTR_IK 320 201 320-Filler 09
MAP_MSTR_IK 320 202 320-Filler 10
MAP_MSTR_IK 320 203 320-Filler 11
MAP_MSTR_IK 320 204 320-Filler 12
MAP_MSTR_IK 320 205 320-Filler 13
MAP_MSTR_IK 320 206 320-Filler 14
MAP_MSTR_IK 320 207 320-Filler 15
MAP_MSTR_IK 320 208 Other Subscriber SSN Qualifier
MAP_MSTR_IK 320 209 Other Subscriber SSN Identifier
MAP_MSTR_IK 330 1 330 Record
MAP_MSTR_IK 330 2 330 KEY
MAP_MSTR_IK 330 3 2320_SBR01_PayerResponsibilitySequence
MAP_MSTR_IK 330 4 2320_SBR02_SubscriberRelationship
MAP_MSTR_IK 330 5 2320_SBR03_PolicyNumber
MAP_MSTR_IK 330 6 2320_SBR04_InsuredGroupName
MAP_MSTR_IK 330 7 2320_SBR05_InsuranceType
MAP_MSTR_IK 330 8 2320_SBR09_ClaimFilingIndicator
MAP_MSTR_IK 330 9 2320_ClaimLevelDenial_1
MAP_MSTR_IK 330 19 2320_CAS01_ClaimAdjustmentGroup_1
MAP_MSTR_IK 330 20 2320_CAS02_ClaimAdjustmentReason_1
MAP_MSTR_IK 330 21 2320_CAS03_ClaimAdjustmentAmount_1
MAP_MSTR_IK 330 22 2320_CAS04_ClaimAdjustmentquantity_1
MAP_MSTR_IK 330 114 2320_AMT01_AmountQualifier_1
MAP_MSTR_IK 330 115 2320_AMT02_COBAmount_1
MAP_MSTR_IK 330 116 2320_AMT01_AmountQualifier_2
MAP_MSTR_IK 330 117 2320_AMT02_COBAmount_2
MAP_MSTR_IK 330 118 2320_AMT01_AmountQualifier_3
MAP_MSTR_IK 330 119 2320_AMT02_COBAmount_3
MAP_MSTR_IK 330 120 2320_OI03_AssignBenefitsIndicator
MAP_MSTR_IK 330 121 2320_OI04_PatientSignature
MAP_MSTR_IK 330 122 2320_OI06_ReleaseOfInformation
MAP_MSTR_IK 330 123 2320_MIA01_AdjudQuantity
MAP_MSTR_IK 330 124 2320_MIA03_AdjudQuantity
MAP_MSTR_IK 330 125 2320_MIA04_AdjudAmount
MAP_MSTR_IK 330 126 2320_MIA05_RemarkCode
MAP_MSTR_IK 330 146 2320_MOA01_AdjudAmount
MAP_MSTR_IK 330 147 2320_MOA02_AdjudAmount
MAP_MSTR_IK 330 148 2320_MOA03_RemarkCode
MAP_MSTR_IK 330 155 2330A_NM101_PersonRole
MAP_MSTR_IK 330 156 2330A_NM102_PersonIndicator
MAP_MSTR_IK 330 157 2330A_NM103_LastName
MAP_MSTR_IK 330 158 2330A_NM104_FirstName
MAP_MSTR_IK 330 159 2330A_NM105_MiddleName
MAP_MSTR_IK 330 160 2330A_NM107_Suffix
MAP_MSTR_IK 330 161 2330A_NM108_PersonIdentifierQualifier
MAP_MSTR_IK 330 162 2330A_NM109_PersonIdentifier
MAP_MSTR_IK 330 163 2330A_N301_AddressLine1
MAP_MSTR_IK 330 164 2330A_N302_AddressLine2
MAP_MSTR_IK 330 165 2330A_N401_City
MAP_MSTR_IK 330 166 2330A_N402_State
MAP_MSTR_IK 330 167 2330A_N403_PostalCode
MAP_MSTR_IK 330 168 2330A_N404_Country
MAP_MSTR_IK 330 169 2330B_NM101_OrganizationRole
MAP_MSTR_IK 330 170 2330B_NM102_PersonIndicator
MAP_MSTR_IK 330 171 2330B_NM103_Name
MAP_MSTR_IK 330 172 2330B_NM108_OrganizationIdQualifier
MAP_MSTR_IK 330 173 2330B_NM109_OrganizationIdentifier
MAP_MSTR_IK 330 174 2330B_N301_AddressLine1
MAP_MSTR_IK 330 175 2330B_N302_AddressLine2
MAP_MSTR_IK 330 176 2330B_N401_City
MAP_MSTR_IK 330 177 2330B_N402_State
MAP_MSTR_IK 330 178 2330B_N403_PostalCode
MAP_MSTR_IK 330 179 2330B_N404_Country
MAP_MSTR_IK 330 180 2330B_DTP01_DateTimeQualifier
MAP_MSTR_IK 330 181 2330B_DTP02_DateTimeFormat
MAP_MSTR_IK 330 182 2330B_DTP03_ClaimPaidDate
MAP_MSTR_IK 330 183 2330B_REF01_OrganizationIdQualifier_1
MAP_MSTR_IK 330 184 2330B_REF01_OrganizationIdentifier_1
MAP_MSTR_IK 330 185 2330B_REF01_OrganizationIdQualifier_2
MAP_MSTR_IK 330 186 2330B_REF01_OrganizationIdentifier_2
MAP_MSTR_IK 330 187 2330B_REF01_OrganizationIdQualifier_2
MAP_MSTR_IK 330 188 2330B_REF01_OrganizationIdentifier_2
MAP_MSTR_IK 330 189 2330B_REF01_OrganizationIdQualifier_3
MAP_MSTR_IK 330 190 2330B_REF01_OrganizationIdentifier_3
MAP_MSTR_IK 330 191 2330B_REF01_OrganizationIdQualifier_3
MAP_MSTR_IK 330 192 2330B_REF01_OrganizationIdentifier_3
MAP_MSTR_IK 330 193 ClaimApprovedAmount
MAP_MSTR_IK 330 194 330-Filler 02
MAP_MSTR_IK 330 195 330-Filler 03
MAP_MSTR_IK 330 196 330-Filler 04
MAP_MSTR_IK 330 197 330-Filler 05
MAP_MSTR_IK 330 198 330-Filler 06
MAP_MSTR_IK 330 199 330-Filler 07
MAP_MSTR_IK 330 200 330-Filler 08
MAP_MSTR_IK 330 201 330-Filler 09
MAP_MSTR_IK 330 202 330-Filler 10
MAP_MSTR_IK 330 203 330-Filler 11
MAP_MSTR_IK 330 204 330-Filler 12
MAP_MSTR_IK 330 205 330-Filler 13
MAP_MSTR_IK 330 206 330-Filler 14
MAP_MSTR_IK 330 207 330-Filler 15
MAP_MSTR_IK 330 208 Other Subscriber SSN Qualifier
MAP_MSTR_IK 330 209 Other Subscriber SSN Identifier
MAP_MSTR_IK 40P 1 40P Record
MAP_MSTR_IK 40P 2 40P KEY
MAP_MSTR_IK 40P 3 2400P_LX01_LineCounter
MAP_MSTR_IK 40P 4 2400P_SV101-01_ServiceCodeType
MAP_MSTR_IK 40P 5 2400P_SV101-02_ServiceCode
MAP_MSTR_IK 40P 6 2400P_SV101-03_ServiceModifier1
MAP_MSTR_IK 40P 7 2400P_SV101-04_ServiceModifier2
MAP_MSTR_IK 40P 8 2400P_SV101-05_ServiceModifier3
MAP_MSTR_IK 40P 9 2400P_SV101-06_ServiceModifier4
MAP_MSTR_IK 40P 10 2400P_SV101-07_ServiceCodeDescription
MAP_MSTR_IK 40P 11 2400P_SV102_LineCharge
MAP_MSTR_IK 40P 12 2400P_SV103_ServiceUnitMeasure
MAP_MSTR_IK 40P 13 2400P_SV104_Quantity
MAP_MSTR_IK 40P 14 2400P_SV105_PlaceOfService
MAP_MSTR_IK 40P 15 2400P_SV107-01_DiagnosisPointer
MAP_MSTR_IK 40P 16 2400P_SV107-02_DiagnosisPointer
MAP_MSTR_IK 40P 17 2400P_SV107-03_DiagnosisPointer
MAP_MSTR_IK 40P 18 2400P_SV107-04_DiagnosisPointer
MAP_MSTR_IK 40P 19 2400P_SV109_EmergencyService
MAP_MSTR_IK 40P 20 2400P_SV111_EPSDTService THIS IS SERVICE LINE - INDICATES THAT THE PATIENT WAS SEEN AS A RESULT OF AN EPSDT REFERRAL
MAP_MSTR_IK 40P 21 2400P_SV112_FamilyPlanningService
MAP_MSTR_IK 40P 22 2400P_SV115_CoPayExempt
MAP_MSTR_IK 40P 23 2400P_SV501-01_ServiceCodeType
MAP_MSTR_IK 40P 24 2400P_SV501-02_ServiceCode
MAP_MSTR_IK 40P 25 2400P_SV502_ServiceUnitMeasure
MAP_MSTR_IK 40P 26 2400P_SV503_LengthMedicalNecessity
MAP_MSTR_IK 40P 27 2400P_SV504_RentalPrice
MAP_MSTR_IK 40P 28 2400P_SV505_PurchasePrice
MAP_MSTR_IK 40P 29 2400P_SV506_RentalUnitPrice
MAP_MSTR_IK 40P 30 2400P_PWK01_ReportType
MAP_MSTR_IK 40P 31 2400P_PWK02_TransmissionCode
MAP_MSTR_IK 40P 32 2400P_PWK05_CodeQualifier
MAP_MSTR_IK 40P 33 2400P_PWK06_ControlNumber
MAP_MSTR_IK 40P 34 2400P_CR101_PatientWeightQualifier
MAP_MSTR_IK 40P 35 2400P_CR102_PatientWeight
MAP_MSTR_IK 40P 36 2400P_CR104_TransportReason
MAP_MSTR_IK 40P 37 2400P_CR105_ServiceMeasureCode
MAP_MSTR_IK 40P 38 2400P_CR106_Distance
MAP_MSTR_IK 40P 39 2400P_CR109_RoundTripDesc
MAP_MSTR_IK 40P 40 2400P_CR110_StretcherPurpose
MAP_MSTR_IK 40P 41 2400P_DTP01_DateTimeQualifier_1
MAP_MSTR_IK 40P 42 2400P_DTP02_FormatQualifier_1
MAP_MSTR_IK 40P 43 2400P_DTP03_Date_1
MAP_MSTR_IK 40P 44 2400P_DTP01_DateTimeQualifier_2
MAP_MSTR_IK 40P 45 2400P_DTP02_FormatQualifier-2
MAP_MSTR_IK 40P 46 2400P_DTP03_Date-2
MAP_MSTR_IK 40P 47 2400P_DTP01_DateTimeQualifier_3
MAP_MSTR_IK 40P 48 2400P_DTP02_FormatQualifier_3
MAP_MSTR_IK 40P 49 2400P_DTP03_Date_3
MAP_MSTR_IK 40P 50 2400P_DTP01_DateTimeQualifier_4
MAP_MSTR_IK 40P 51 2400P_DTP02_FormatQualifier-4
MAP_MSTR_IK 40P 52 2400P_DTP03_Date-4
MAP_MSTR_IK 40P 53 2400P_DTP01_DateTimeQualifier_5
MAP_MSTR_IK 40P 54 2400P_DTP02_FormatQualifier_5
MAP_MSTR_IK 40P 55 2400P_DTP03_Date_5
MAP_MSTR_IK 40P 56 2400P_DTP01_DateTimeQualifier_6
MAP_MSTR_IK 40P 57 2400P_DTP02_FormatQualifier-6
MAP_MSTR_IK 40P 58 2400P_DTP03_Date-6
MAP_MSTR_IK 40P 59 2400P_DTP01_DateTimeQualifier_7
MAP_MSTR_IK 40P 60 2400P_DTP02_FormatQualifier_7
MAP_MSTR_IK 40P 61 2400P_DTP03_Date_7
MAP_MSTR_IK 40P 62 2400P_DTP01_DateTimeQualifier_8
MAP_MSTR_IK 40P 63 2400P_DTP02_FormatQualifier-8
MAP_MSTR_IK 40P 64 2400P_DTP03_Date-8
MAP_MSTR_IK 40P 65 2400P_DTP01_DateTimeQualifier_9
MAP_MSTR_IK 40P 66 2400P_DTP02_FormatQualifier-9
MAP_MSTR_IK 40P 67 2400P_DTP03_Date-9
MAP_MSTR_IK 40P 68 2400P_DTP01_DateTimeQualifier_10
MAP_MSTR_IK 40P 69 2400P_DTP02_FormatQualifier_10
MAP_MSTR_IK 40P 70 2400P_DTP03_Date_10
MAP_MSTR_IK 40P 71 2400P_DTP01_DateTimeQualifier_11
MAP_MSTR_IK 40P 72 2400P_DTP02_FormatQualifier-11
MAP_MSTR_IK 40P 73 2400P_DTP03_Date-11
MAP_MSTR_IK 40P 74 2400P_QTY01_QuantityQuakiferID_1
MAP_MSTR_IK 40P 75 2400P_QTY02_Quantity_1
MAP_MSTR_IK 40P 76 2400P_QTY01_QuantityQualiferID_2
MAP_MSTR_IK 40P 77 2400P_QTY02_Quantity_2
MAP_MSTR_IK 40P 78 2400P_MEA01_MeasurementIdentifierCode_1
MAP_MSTR_IK 40P 79 2400P_MEA02_MeasurementQualifier_1
MAP_MSTR_IK 40P 80 2400P_MEA03_MeasurementValue_1
MAP_MSTR_IK 40P 81 2400P_MEA01_MeasurementIdentifierCode_2
MAP_MSTR_IK 40P 82 2400P_MEA02_MeasurementQualifier_2
MAP_MSTR_IK 40P 83 2400P_MEA03_MeasurementValue_2
MAP_MSTR_IK 40P 84 2400P_MEA01_MeasurementIdentifierCode_3
MAP_MSTR_IK 40P 85 2400P_MEA02_MeasurementQualifier_3
MAP_MSTR_IK 40P 86 2400P_MEA03_MeasurementValue_3
MAP_MSTR_IK 40P 87 2400P_MEA01_MeasurementIdentifierCode_4
MAP_MSTR_IK 40P 88 2400P_MEA02_MeasurementQualifier_4
MAP_MSTR_IK 40P 89 2400P_MEA03_MeasurementValue_4
MAP_MSTR_IK 40P 90 2400P_MEA01_MeasurementIdentifierCode_5
MAP_MSTR_IK 40P 91 2400P_MEA02_MeasurementQualifier_5
MAP_MSTR_IK 40P 92 2400P_MEA03_MeasurementValue_5
MAP_MSTR_IK 40P 93 2400P_CN101_ContractType
MAP_MSTR_IK 40P 94 2400P_CN102_ContractAmount
MAP_MSTR_IK 40P 95 2400P_CN103_ContractPercentage
MAP_MSTR_IK 40P 96 2400P_CN104_ContractCode
MAP_MSTR_IK 40P 97 2400P_CN105_TermsDiscountPercent
MAP_MSTR_IK 40P 98 2400P_CN106_ContractVersionIdentifier
MAP_MSTR_IK 40P 99 2400P_REF01_ServiceRefNumberQualifier_1
MAP_MSTR_IK 40P 100 2400P_REF02_ServiceRefNumber_1
MAP_MSTR_IK 40P 101 2400P_REF01_ServiceRefNumberQualifier_2
MAP_MSTR_IK 40P 102 2400P_REF02_ServiceRefNumber_2
MAP_MSTR_IK 40P 103 2400P_REF01_ServiceRefNumberQualifier_3
MAP_MSTR_IK 40P 104 2400P_REF02_ServiceRefNumber_3
MAP_MSTR_IK 40P 105 2400P_REF01_ServiceRefNumberQualifier_4
MAP_MSTR_IK 40P 106 2400P_REF02_ServiceRefNumber_4
MAP_MSTR_IK 40P 107 2400P_REF01_ServiceRefNumberQualifier_5
MAP_MSTR_IK 40P 108 2400P_REF02_ServiceRefNumber_5
MAP_MSTR_IK 40P 109 2400P_REF01_ServiceRefNumberQualifier_6
MAP_MSTR_IK 40P 110 2400P_REF02_ServiceRefNumber_6
MAP_MSTR_IK 40P 111 2400P_REF01_ServiceRefNumberQualifier_7
MAP_MSTR_IK 40P 112 2400P_REF02_ServiceRefNumber_7
MAP_MSTR_IK 40P 113 2400P_REF01_ServiceRefNumberQualifier_8
MAP_MSTR_IK 40P 114 2400P_REF02_ServiceRefNumber_8
MAP_MSTR_IK 40P 115 2400P_REF04-01_AssignedByQualifier_8
MAP_MSTR_IK 40P 116 2400P_REF04-02_AssignedBy_8
MAP_MSTR_IK 40P 117 2400P_REF01_ServiceRefNumberQualifier_9
MAP_MSTR_IK 40P 118 2400P_REF02_ServiceRefNumber_9
MAP_MSTR_IK 40P 119 2400P_REF04-01_AssignedByQualifier_9
MAP_MSTR_IK 40P 120 2400P_REF04-02_AssignedBy_9
MAP_MSTR_IK 40P 121 2400P_AMT01_AmountQualfier_1
MAP_MSTR_IK 40P 122 2400P_AMT02_Amount_1
MAP_MSTR_IK 40P 123 2400P_AMT01_AmountQualfier_2
MAP_MSTR_IK 40P 124 2400P_AMT02_Amount_2
MAP_MSTR_IK 40P 125 2400P_K301_FixedFormatInformation_1
MAP_MSTR_IK 40P 126 2400P_K301_FixedFormatInformation_2
MAP_MSTR_IK 40P 127 2400P_K301_FixedFormatInformation_3
MAP_MSTR_IK 40P 128 2400P_K301_FixedFormatInformation_4
MAP_MSTR_IK 40P 129 2400P_K301_FixedFormatInformation_5
MAP_MSTR_IK 40P 130 2400P_K301_FixedFormatInformation_6
MAP_MSTR_IK 40P 131 2400P_K301_FixedFormatInformation_7
MAP_MSTR_IK 40P 132 2400P_K301_FixedFormatInformation_8
MAP_MSTR_IK 40P 133 2400P_K301_FixedFormatInformation_9
MAP_MSTR_IK 40P 134 2400P_K301_FixedFormatInformation_10
MAP_MSTR_IK 40P 135 2400P_NTE01_NoteType_1
MAP_MSTR_IK 40P 136 2400P_NTE02_Note_1
MAP_MSTR_IK 40P 137 2400P_NTE01_NoteType_2
MAP_MSTR_IK 40P 138 2400P_NTE02_Note_2
MAP_MSTR_IK 40P 139 2400P_HCP01_PricingMethod
MAP_MSTR_IK 40P 140 2400P_HCP02_RepricedAllowedAmt
MAP_MSTR_IK 40P 141 2400P_HCP03_RepricedSavingAmt
MAP_MSTR_IK 40P 142 2400P_HCP04_RepricingOrdID
MAP_MSTR_IK 40P 143 2400P_HCP05_PricingRange
MAP_MSTR_IK 40P 144 2400P_HCP06_APGPricingCode
MAP_MSTR_IK 40P 145 2400P_HCP07_APGPricingAmt
MAP_MSTR_IK 40P 146 2400P_HCP09_ServiceType
MAP_MSTR_IK 40P 147 2400P_HCP10_ApprovedServiceCode
MAP_MSTR_IK 40P 148 2400P_HCP11_RepricingUnits
MAP_MSTR_IK 40P 149 2400P_HCP12_RepricingQuantity
MAP_MSTR_IK 40P 150 2400P_HCP13_RejectReasonCode
MAP_MSTR_IK 40P 151 2400P_HCP14_PolicyComplianceCode
MAP_MSTR_IK 40P 152 2400P_HCP15_ExceptionCode
MAP_MSTR_IK 40P 153 2410P_LIN02_DrugCodeType
MAP_MSTR_IK 40P 154 2410P_LIN03_NationalDrugCode
MAP_MSTR_IK 40P 155 2410P_CTP04_Quantity
MAP_MSTR_IK 40P 156 2410P_CTP05-01_Units
MAP_MSTR_IK 40P 157 2410P_REF01_ReferenceIDQualifier
MAP_MSTR_IK 40P 158 2410P_REF02_ReferenceIdentifier
MAP_MSTR_IK 40P 159 2420GP_NM101_ProviderRole
MAP_MSTR_IK 40P 160 2420GP_NM102_PersonIndicator
MAP_MSTR_IK 40P 161 2420GP_N301_AddressLine1
MAP_MSTR_IK 40P 162 2420GP_N302_AddressLine2
MAP_MSTR_IK 40P 163 2420GP_N401_City
MAP_MSTR_IK 40P 164 2420GP_N402_State
MAP_MSTR_IK 40P 165 2420GP_N403_PostalCode
MAP_MSTR_IK 40P 166 2420GP_N404_Country
MAP_MSTR_IK 40P 167 2420HP_NM101_ProviderRole
MAP_MSTR_IK 40P 168 2420HP_NM102_PersonIndicator
MAP_MSTR_IK 40P 169 2420HP_NM103_ORG_LastName
MAP_MSTR_IK 40P 170 2420HP_N301_AddressLine1
MAP_MSTR_IK 40P 171 2420HP_N302_AddressLine2
MAP_MSTR_IK 40P 172 2420HP_N401_City
MAP_MSTR_IK 40P 173 2420HP_N402_State
MAP_MSTR_IK 40P 174 2420HP_N403_PostalCode
MAP_MSTR_IK 40P 175 2420HP_N404_Country
MAP_MSTR_IK 40P 176 2400P_PWK02_DMEAttachmentTransmissionCode
MAP_MSTR_IK 40P 177 2400P_CR301_CertificationTypeCode
MAP_MSTR_IK 40P 178 2400P_CR303_DurableMedicalEquipmentDuration
MAP_MSTR_IK 40P 179 2400P_CRC02_CertificationConditionIndicator
MAP_MSTR_IK 40P 180 2400P_CRC03_ConditionCode
MAP_MSTR_IK 40P 181 2400P_CRC04_ConditionCode
MAP_MSTR_IK 40P 182 2400P_CRC05_ConditionCode
MAP_MSTR_IK 40P 183 2400P_CRC06_ConditionCode
MAP_MSTR_IK 40P 184 2400P_CRC07_ConditionCode
MAP_MSTR_IK 40P 185 2400P_REF01_RepricedLineItemReferenceQualifier
MAP_MSTR_IK 40P 186 2400P_REF02_RepricedLineItemReferenceNumber
MAP_MSTR_IK 40P 187 2400P_PS101_PurchasedSerivceProviderIdentifier
MAP_MSTR_IK 40P 188 2400P_PS102_PurchasedServiceChargeAmount
MAP_MSTR_IK 40P 189 40P-Filler 01
MAP_MSTR_IK 40P 190 40P-Filler 02
MAP_MSTR_IK 40P 191 40P-Filler 03
MAP_MSTR_IK 40P 192 40P-Filler 04
MAP_MSTR_IK 40P 193 40P-Filler 05
MAP_MSTR_IK 40P 194 2420AP_NM101_ProviderRole
MAP_MSTR_IK 40P 195 2420AP_NM102_PersonIndicator
MAP_MSTR_IK 40P 196 2420AP_NM103_LastName
MAP_MSTR_IK 40P 197 2420AP_NM104_FirstName
MAP_MSTR_IK 40P 198 2420AP_NM105_MiddleName
MAP_MSTR_IK 40P 199 2420AP_NM107_Suffix
MAP_MSTR_IK 40P 200 2420AP_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 40P 201 2420AP_NM109_ProviderIdentifier
MAP_MSTR_IK 40P 202 2420AP_PRV03_ProviderTaxonomy
MAP_MSTR_IK 40P 203 2420AP_REF01_ProviderIdentifierQualifer_1
MAP_MSTR_IK 40P 204 2420AP_REF02_ProviderIdentifier_1
MAP_MSTR_IK 40P 205 2420AP_REF01_ProviderIdentifierQualifer_2
MAP_MSTR_IK 40P 206 2420AP_REF02_ProviderIdentifier_2
MAP_MSTR_IK 40P 207 2420AP_REF01_ProviderIdentifierQualifer_3
MAP_MSTR_IK 40P 208 2420AP_REF02_ProviderIdentifier_3
MAP_MSTR_IK 40P 209 2420BP_NM101_ProviderRole
MAP_MSTR_IK 40P 210 2420BP_NM102_PersonIndicator
MAP_MSTR_IK 40P 211 2420BP_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 40P 212 2420BP_NM109_ProviderIdentifier
MAP_MSTR_IK 40P 213 2420BP_REF01_ProviderIdentifierQualifer_1
MAP_MSTR_IK 40P 214 2420BP_REF02_ProviderIdentifier_1
MAP_MSTR_IK 40P 215 2420BP_REF01_ProviderIdentifierQualifer_2
MAP_MSTR_IK 40P 216 2420BP_REF02_ProviderIdentifier_2
MAP_MSTR_IK 40P 217 2420CP_NM101_ProviderRole
MAP_MSTR_IK 40P 218 2420CP_NM102_PersonIndicator
MAP_MSTR_IK 40P 219 2420CP_NM103_LastName
MAP_MSTR_IK 40P 220 2420CP_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 40P 221 2420CP_NM109_ProviderIdentifier
MAP_MSTR_IK 40P 222 2420CP_N301_AddressLine1
MAP_MSTR_IK 40P 223 2420CP_N302_AddressLine2
MAP_MSTR_IK 40P 224 2420CP_N401_City
MAP_MSTR_IK 40P 225 2420CP_N402_State
MAP_MSTR_IK 40P 226 2420CP_N403_PostalCode
MAP_MSTR_IK 40P 227 2420CP_N404_Country
MAP_MSTR_IK 40P 228 2420CP_REF01_ProviderIdentifierQualifer_1
MAP_MSTR_IK 40P 229 2420CP_REF02_ProviderIdentifier_1
MAP_MSTR_IK 40P 230 2420CP_REF01_ProviderIdentifierQualifer_2
MAP_MSTR_IK 40P 231 2420CP_REF02_ProviderIdentifier_2
MAP_MSTR_IK 40P 232 2420DP_NM101_ProviderRole
MAP_MSTR_IK 40P 233 2420DP_NM102_PersonIndicator
MAP_MSTR_IK 40P 234 2420DP_NM103_LastName
MAP_MSTR_IK 40P 235 2420DP_NM104_FirstName
MAP_MSTR_IK 40P 236 2420DP_NM105_MiddleName
MAP_MSTR_IK 40P 237 2420DP_NM107_Suffix
MAP_MSTR_IK 40P 238 2420DP_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 40P 239 2420DP_NM109_ProviderIdentifier
MAP_MSTR_IK 40P 240 2420DP_REF01_ProviderIdentifierQualifer_1
MAP_MSTR_IK 40P 241 2420DP_REF02_ProviderIdentifier_1
MAP_MSTR_IK 40P 242 2420DP_REF01_ProviderIdentifierQualifer_2
MAP_MSTR_IK 40P 243 2420DP_REF02_ProviderIdentifier_2
MAP_MSTR_IK 40P 244 2420DP_REF01_ProviderIdentifierQualifer_3
MAP_MSTR_IK 40P 245 2420DP_REF02_ProviderIdentifier_3
MAP_MSTR_IK 40P 246 2420EP_NM101_ProviderRole
MAP_MSTR_IK 40P 247 2420EP_NM102_PersonIndicator
MAP_MSTR_IK 40P 248 2420EP_NM103_LastName
MAP_MSTR_IK 40P 249 2420EP_NM104_FirstName
MAP_MSTR_IK 40P 250 2420EP_NM105_MiddleName
MAP_MSTR_IK 40P 251 2420EP_NM107_Suffix
MAP_MSTR_IK 40P 252 2420EP_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 40P 253 2420EP_NM109_ProviderIdentifier
MAP_MSTR_IK 40P 254 2420EP_N301_AddressLine1
MAP_MSTR_IK 40P 255 2420EP_N302_AddressLine2
MAP_MSTR_IK 40P 256 2420EP_N401_City
MAP_MSTR_IK 40P 257 2420EP_N402_State
MAP_MSTR_IK 40P 258 2420EP_N403_PostalCode
MAP_MSTR_IK 40P 259 2420EP_N404_Country
MAP_MSTR_IK 40P 260 2420EP_REF01_ProviderIdentifierQualifer_1
MAP_MSTR_IK 40P 261 2420EP_REF02_ProviderIdentifier_1
MAP_MSTR_IK 40P 262 2420EP_REF01_ProviderIdentifierQualifer_2
MAP_MSTR_IK 40P 263 2420EP_REF02_ProviderIdentifier_2
MAP_MSTR_IK 40P 264 2420FP_NM101_ProviderRole
MAP_MSTR_IK 40P 265 2420FP_NM102_PersonIndicator
MAP_MSTR_IK 40P 266 2420FP_NM103_LastName
MAP_MSTR_IK 40P 267 2420FP_NM104_FirstName
MAP_MSTR_IK 40P 268 2420FP_NM105_MiddleName
MAP_MSTR_IK 40P 269 2420FP_NM107_Suffix
MAP_MSTR_IK 40P 270 2420FP_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 40P 271 2420FP_NM109_ProviderIdentifier
MAP_MSTR_IK 40P 272 2420FP_REF01_ProviderIdentifierQualifer_1
MAP_MSTR_IK 40P 273 2420FP_REF02_ProviderIdentifier_1
MAP_MSTR_IK 40P 274 2420FP_REF01_ProviderIdentifierQualifer_2
MAP_MSTR_IK 40P 275 2420FP_REF02_ProviderIdentifier_2
MAP_MSTR_IK 40P 276 InNetworkIndicator
MAP_MSTR_IK 40P 277 ServiceLineContractID
MAP_MSTR_IK 40P 278 TPLPaidAmount
MAP_MSTR_IK 40P 279 AmbulancePickUpTime
MAP_MSTR_IK 40P 280 AmbulanceDropOffTime
MAP_MSTR_IK 40P 281 AmbulancePickUpLoc
MAP_MSTR_IK 40P 282 AmbulanceDropOffLoc
MAP_MSTR_IK 40P 283 AmbulanceTripType
MAP_MSTR_IK 40P 284 AmbulanceTripLeg
MAP_MSTR_IK 40P 285 40P-Filler 15
MAP_MSTR_IK 40P 286 ServiceHealthPlan
MAP_MSTR_IK 40P 287 ServiceBenefitPlan
MAP_MSTR_IK 40P 288 ServiceAdministrativeCounty
MAP_MSTR_IK 40P 289 ServiceResidenceCounty
MAP_MSTR_IK 40P 290 ServiceEligibilityCode
MAP_MSTR_IK 40P 291 ServiceSubProgram1
MAP_MSTR_IK 40P 292 ServiceSubProgram2
MAP_MSTR_IK 40P 293 ServiceSubProgram3
MAP_MSTR_IK 40P 294 ServiceSubProgram4
MAP_MSTR_IK 40P 295 ServiceArrangementCode
MAP_MSTR_IK 40P 296 ServiceTribalCode
MAP_MSTR_IK 40P 297 CategoryOfService
MAP_MSTR_IK 40P 298 RenderingProviderSpeciality
MAP_MSTR_IK 40P 299 PurchasedIndicator
MAP_MSTR_IK 40P 300 BH_ESPDTIndicator
MAP_MSTR_IK 40P 301 MPIServiceLocation
MAP_MSTR_IK 40P 302 EBPPCode01
MAP_MSTR_IK 40P 303 EBPPCode02
MAP_MSTR_IK 40P 304 EBPPCode03
MAP_MSTR_IK 40P 305 EBPPCode04
MAP_MSTR_IK 40P 306 EBPPCode05
MAP_MSTR_IK 40P 307 Ordering Provider Location Code
MAP_MSTR_IK 40P 308 MediaType
MAP_MSTR_IK 40P 309 Beneficiary Cost Sharing Status
MAP_MSTR_IK 40P 310 Out of Pocket Maximum
MAP_MSTR_IK 40P 311 Beneficiary Lock-In Status
MAP_MSTR_IK 40P 312 Type of transportation used
MAP_MSTR_IK 40P 313 Appointment time
MAP_MSTR_IK 40P 314 What time did driver arrive
MAP_MSTR_IK 40P 315 What time did driver and beneficiary leave
MAP_MSTR_IK 40I 1 40I Record
MAP_MSTR_IK 40I 2 40I KEY
MAP_MSTR_IK 40I 3 2400I_LX01_LineCounter
MAP_MSTR_IK 40I 4 2400I_SV201_RevenueCode
MAP_MSTR_IK 40I 5 2400I_SV202-01_ServiceCodeType
MAP_MSTR_IK 40I 6 2400I_SV202-02_ServiceCode
MAP_MSTR_IK 40I 7 2400I_SV202-03_ServiceModifier1
MAP_MSTR_IK 40I 8 2400I_SV202-04_ServiceModifier2
MAP_MSTR_IK 40I 9 2400I_SV202-05_ServiceModifier3
MAP_MSTR_IK 40I 10 2400I_SV202-06_ServiceModifier4
MAP_MSTR_IK 40I 11 2400I_SV202-07_ServiceCodeDescription
MAP_MSTR_IK 40I 12 2400I_SV203_LineCharge
MAP_MSTR_IK 40I 13 2400I_SV204_ServiceUnitMeasure
MAP_MSTR_IK 40I 14 2400I_SV205_Quantity
MAP_MSTR_IK 40I 15 2400I_SV207_NonCoveredCharge
MAP_MSTR_IK 40I 16 2400I_PWK01_ReportType
MAP_MSTR_IK 40I 17 2400I_PWK02_TransmissionCode
MAP_MSTR_IK 40I 18 2400I_PWK05_CodeQualifier
MAP_MSTR_IK 40I 19 2400I_PWK06_ControlNumber
MAP_MSTR_IK 40I 20 2400I_DTP01_DateTimeQualifier
MAP_MSTR_IK 40I 21 2400I_DTP02_FormatQualifier
MAP_MSTR_IK 40I 22 2400I_DTP03_Date
MAP_MSTR_IK 40I 23 2400I_REF01_ServiceRefNumberQualifier
MAP_MSTR_IK 40I 24 2400I_REF02_ServiceRefNumber
MAP_MSTR_IK 40I 25 2410I_LIN02_DrugCodeType
MAP_MSTR_IK 40I 26 2410I_LIN03_NationalDrugCode
MAP_MSTR_IK 40I 27 2410I_CTP04_Quantity
MAP_MSTR_IK 40I 28 2410I_CTP05-01_Units
MAP_MSTR_IK 40I 29 2410I_REF01_ReferenceIDQualifier
MAP_MSTR_IK 40I 30 2410I_REF02_ReferenceIdentifier
MAP_MSTR_IK 40I 31 2400I_REF01_RepricedLineItemReference_Qualifier
MAP_MSTR_IK 40I 32 2400I_REF02_RepricedLineItemReferenceNumber
MAP_MSTR_IK 40I 33 2400I_REF01_AdjustedRepricedLineItemReference_Qualifier
MAP_MSTR_IK 40I 34 2400I_REF02_AdjustedRepricedLineItemReferenceNumber
MAP_MSTR_IK 40I 35 2400I_HCP01_PricingMethodology
MAP_MSTR_IK 40I 36 2400I_HCP02_RepricedAllowedAmt
MAP_MSTR_IK 40I 37 2400I_HCP03_RepricedSavingAmt
MAP_MSTR_IK 40I 38 2400I_HCP04_RepricingOrganziationIdentifier
MAP_MSTR_IK 40I 39 2400I_HCP05_RepricingPerDiem
MAP_MSTR_IK 40I 40 2400I_HCP06_APGPricingCode
MAP_MSTR_IK 40I 41 2400I_HCP07_APGPricingAmt
MAP_MSTR_IK 40I 42 2400I_HCP09_ServiceType
MAP_MSTR_IK 40I 43 2400I_HCP10_ApprovedServiceCode
MAP_MSTR_IK 40I 44 2400I_HCP11_RepricingUnits
MAP_MSTR_IK 40I 45 2400I_HCP12_RepricingQuantity
MAP_MSTR_IK 40I 46 2400I_HCP13_RejectReasonCode
MAP_MSTR_IK 40I 47 2400I_HCP14_PolicyComplianceCode
MAP_MSTR_IK 40I 48 2400I_HCP15_ExceptionCode
MAP_MSTR_IK 40I 49 2410I_REF01_ReferenceIDQualifier_2
MAP_MSTR_IK 40I 50 2410I_REF02_ReferenceIdentifier_2
MAP_MSTR_IK 40I 51 40-IFiller 01
MAP_MSTR_IK 40I 52 40I-Filler 02
MAP_MSTR_IK 40I 53 40I-Filler 03
MAP_MSTR_IK 40I 54 40I-Filler 04
MAP_MSTR_IK 40I 55 40I-Filler 05
MAP_MSTR_IK 40I 56 2420AI_NM101_ProviderRole
MAP_MSTR_IK 40I 57 2420AI_NM102_PersonIndicator
MAP_MSTR_IK 40I 58 2420AI_NM103_LastName
MAP_MSTR_IK 40I 59 2420AI_NM104_FirstName
MAP_MSTR_IK 40I 60 2420AI_NM105_MiddleName
MAP_MSTR_IK 40I 61 2420AI_NM107_Suffix
MAP_MSTR_IK 40I 62 2420AI_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 40I 63 2420AI_NM109_ProviderIdentifier
MAP_MSTR_IK 40I 64 2420AI_REF01_ProviderIdentifierQualifer_1
MAP_MSTR_IK 40I 65 2420AI_REF02_ProviderIdentifier_1
MAP_MSTR_IK 40I 66 2420AI_REF01_ProviderIdentifierQualifer_2
MAP_MSTR_IK 40I 67 2420AI_REF02_ProviderIdentifier_2
MAP_MSTR_IK 40I 68 2420AI_REF01_ProviderIdentifierQualifer_3
MAP_MSTR_IK 40I 69 2420AI_REF02_ProviderIdentifier_3
MAP_MSTR_IK 40I 70 2420BI_NM101_ProviderRole
MAP_MSTR_IK 40I 71 2420BI_NM102_PersonIndicator
MAP_MSTR_IK 40I 72 2420BI_NM103_LastName
MAP_MSTR_IK 40I 73 2420BI_NM104_FirstName
MAP_MSTR_IK 40I 74 2420BI_NM105_MiddleName
MAP_MSTR_IK 40I 75 2420BI_NM107_Suffix
MAP_MSTR_IK 40I 76 2420BI_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 40I 77 2420BI_NM109_ProviderIdentifier
MAP_MSTR_IK 40I 78 2420BI_REF01_ProviderIdentifierQualifer_1
MAP_MSTR_IK 40I 79 2420BI_REF02_ProviderIdentifier_1
MAP_MSTR_IK 40I 80 2420BI_REF01_ProviderIdentifierQualifer_2
MAP_MSTR_IK 40I 81 2420BI_REF02_ProviderIdentifier_2
MAP_MSTR_IK 40I 82 2420BI_REF01_ProviderIdentifierQualifer_3
MAP_MSTR_IK 40I 83 2420BI_REF02_ProviderIdentifier_3
MAP_MSTR_IK 40I 84 2420CI_NM101_ProviderRole
MAP_MSTR_IK 40I 85 2420CI_NM102_PersonIndicator
MAP_MSTR_IK 40I 86 2420CI_NM103_LastName
MAP_MSTR_IK 40I 87 2420CI_NM104_FirstName
MAP_MSTR_IK 40I 88 2420CI_NM105_MiddleName
MAP_MSTR_IK 40I 89 2420CI_NM107_Suffix
MAP_MSTR_IK 40I 90 2420CI_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 40I 91 2420CI_NM109_ProviderIdentifier
MAP_MSTR_IK 40I 92 2420CI_REF01_ProviderIdentifierQualifer_1
MAP_MSTR_IK 40I 93 2420CI_REF02_ProviderIdentifier_1
MAP_MSTR_IK 40I 94 2420CI_REF01_ProviderIdentifierQualifer_2
MAP_MSTR_IK 40I 95 2420CI_REF02_ProviderIdentifier_2
MAP_MSTR_IK 40I 96 2420CI_REF01_ProviderIdentifierQualifer_3
MAP_MSTR_IK 40I 97 2420CI_REF02_ProviderIdentifier_3
MAP_MSTR_IK 40I 98 2420DI_NM101_ProviderRole
MAP_MSTR_IK 40I 99 2420DI_NM102_PersonIndicator
MAP_MSTR_IK 40I 100 2420DI_NM103_LastName
MAP_MSTR_IK 40I 101 2420DI_NM104_FirstName
MAP_MSTR_IK 40I 102 2420DI_NM105_MiddleName
MAP_MSTR_IK 40I 103 2420DI_NM107_Suffix
MAP_MSTR_IK 40I 104 2420DI_NM108_ProviderIdentifierQualifer
MAP_MSTR_IK 40I 105 2420DI_NM109_ProviderIdentifier
MAP_MSTR_IK 40I 106 2420DI_REF01_ProviderIdentifierQualifer_1
MAP_MSTR_IK 40I 107 2420DI_REF02_ProviderIdentifier_1
MAP_MSTR_IK 40I 108 2420DI_REF01_ProviderIdentifierQualifer_2
MAP_MSTR_IK 40I 109 2420DI_REF02_ProviderIdentifier_2
MAP_MSTR_IK 40I 110 InNetworkIndicator
MAP_MSTR_IK 40I 111 ServiceLineContractID
MAP_MSTR_IK 40I 112 TPLPaidAmount
MAP_MSTR_IK 40I 113  2400I_NTE02_ServiceNote
MAP_MSTR_IK 40I 114 40I-IFiller 10
MAP_MSTR_IK 40I 115 40I-IFiller 11
MAP_MSTR_IK 40I 116 40I-IFiller 12
MAP_MSTR_IK 40I 117 40I-IFiller 13
MAP_MSTR_IK 40I 118 40I-IFiller 14
MAP_MSTR_IK 40I 119 40I-IFiller 15
MAP_MSTR_IK 40I 120 ServiceHealthPlan
MAP_MSTR_IK 40I 121 ServiceBenefitPlan
MAP_MSTR_IK 40I 122 ServiceAdministrativeCounty
MAP_MSTR_IK 40I 123 ServiceResidenceCounty
MAP_MSTR_IK 40I 124 ServiceEligibilityCode
MAP_MSTR_IK 40I 125 ServiceSubProgram1
MAP_MSTR_IK 40I 126 ServiceSubProgram2
MAP_MSTR_IK 40I 127 ServiceSubProgram3
MAP_MSTR_IK 40I 128 ServiceSubProgram4
MAP_MSTR_IK 40I 129 ServiceArrangementCode
MAP_MSTR_IK 40I 130 ServiceTribalCode
MAP_MSTR_IK 40I 131 Family Planning Indicator
MAP_MSTR_IK 40I 132 MediaType
MAP_MSTR_IK 40I 133 Beneficiary Cost Sharing Status
MAP_MSTR_IK 40I 134 Out of Pocket Maximum
MAP_MSTR_IK 40I 135 Beneficiary Lock-In Status
MAP_MSTR_IK 431 1 431 REC
MAP_MSTR_IK 431 2 431 KEY
MAP_MSTR_IK 431 3 2430_SVD01_COBPrimaryPayerID
MAP_MSTR_IK 431 4 2430_SVD02_COBServicePaidAmount
MAP_MSTR_IK 431 5 431_ClaimLineDisposition
MAP_MSTR_IK 431 6 2430_SVD03_01_ServiceCodeType
MAP_MSTR_IK 431 7 2430_SVD03_02_ServiceCode
MAP_MSTR_IK 431 8 2430_SVD03_03_ServiceModifier1
MAP_MSTR_IK 431 9 2430_SVD03_04_ServiceModifier2
MAP_MSTR_IK 431 10 2430_SVD03_05_ServiceModifier3
MAP_MSTR_IK 431 11 2430_SVD03_06_ServiceModifier4
MAP_MSTR_IK 431 12 2430_SVD03_07_ServiceCodeDescription
MAP_MSTR_IK 431 13 2430_SVD04_RevenueCode
MAP_MSTR_IK 431 14 2430_SVD05_Quantity
MAP_MSTR_IK 431 15 2430_SVD06_BundledLineNumber
MAP_MSTR_IK 431 16 2430_LineLevelDenial_1
MAP_MSTR_IK 431 17 2430_LineLevelDenial_2
MAP_MSTR_IK 431 18 2430_LineLevelDenial_3
MAP_MSTR_IK 431 19 2430_LineLevelDenial_4
MAP_MSTR_IK 431 20 2430_LineLevelDenial_5
MAP_MSTR_IK 431 21 2430_LineLevelDenial_6
MAP_MSTR_IK 431 22 2430_LineLevelDenial_7
MAP_MSTR_IK 431 23 2430_LineLevelDenial_8
MAP_MSTR_IK 431 24 2430_LineLevelDenial_9
MAP_MSTR_IK 431 25 2430_LineLevelDenial_10
MAP_MSTR_IK 431 26 2430_CAS01_ClaimAdjustmentGroup_1
MAP_MSTR_IK 431 27 2430_CAS02_ClaimAdjustmentReason_1
MAP_MSTR_IK 431 28 2430_CAS03_ClaimAdjustmentAmount_1
MAP_MSTR_IK 431 29 2430_CAS04_ClaimAdjustmentquantity_1
MAP_MSTR_IK 431 121 2430_DTP01_DateTimeQualifier
MAP_MSTR_IK 431 122 2430_DTP02_DateTimeFormat
MAP_MSTR_IK 431 123 2430_DTP03_ServicePaidDate
MAP_MSTR_IK 431 124 2430_AMT01_AmountQualifier
MAP_MSTR_IK 431 125 2430_AMT02_PatientLiabilityAmount
MAP_MSTR_IK 431 126 431_Allowed_Amount
MAP_MSTR_IK 431 127 431-Filler 01
MAP_MSTR_IK 431 128 431-Filler 02
MAP_MSTR_IK 431 129 431-Filler 03
MAP_MSTR_IK 431 130 431-Filler 04
MAP_MSTR_IK 431 131 431-Filler 05
MAP_MSTR_IK 431 132 431-Filler 06
MAP_MSTR_IK 431 133 431-Filler 07
MAP_MSTR_IK 431 134 431-Filler 08
MAP_MSTR_IK 431 135 431-Filler 09
MAP_MSTR_IK 431 136 431-Filler 10
MAP_MSTR_IK 431 137 431-Filler 11
MAP_MSTR_IK 431 138 431-Filler 12
MAP_MSTR_IK 431 139 431-Filler 13
MAP_MSTR_IK 431 140 431-Filler 14
MAP_MSTR_IK 431 141 431-Filler 15
MAP_MSTR_IK 431 142 431_ RecipientAidCategory
MAP_MSTR_IK 432 1 432 REC
MAP_MSTR_IK 432 2 432 KEY
MAP_MSTR_IK 432 3 2430_SVD01_COBPrimaryPayerID
MAP_MSTR_IK 432 4 2430_SVD02_COBServicePaidAmount
MAP_MSTR_IK 432 5 2430_SVD03_01_ServiceCodeType
MAP_MSTR_IK 432 6 2430_SVD03_02_ServiceCode
MAP_MSTR_IK 432 7 2430_SVD03_03_ServiceModifier1
MAP_MSTR_IK 432 8 2430_SVD03_04_ServiceModifier2
MAP_MSTR_IK 432 9 2430_SVD03_05_ServiceModifier3
MAP_MSTR_IK 432 10 2430_SVD03_06_ServiceModifier4
MAP_MSTR_IK 432 11 2430_SVD03_07_ServiceCodeDescription
MAP_MSTR_IK 432 12 2430_SVD04_RevenueCode
MAP_MSTR_IK 432 13 2430_SVD05_Quantity
MAP_MSTR_IK 432 14 2430_SVD06_BundledLineNumber
MAP_MSTR_IK 432 15 2430_LineLevelDenial_1
MAP_MSTR_IK 432 16 2430_LineLevelDenial_2
MAP_MSTR_IK 432 17 2430_LineLevelDenial_3
MAP_MSTR_IK 432 18 2430_LineLevelDenial_4
MAP_MSTR_IK 432 19 2430_LineLevelDenial_5
MAP_MSTR_IK 432 20 2430_LineLevelDenial_6
MAP_MSTR_IK 432 21 2430_LineLevelDenial_7
MAP_MSTR_IK 432 22 2430_LineLevelDenial_8
MAP_MSTR_IK 432 23 2430_LineLevelDenial_9
MAP_MSTR_IK 432 24 2430_LineLevelDenial_10
MAP_MSTR_IK 432 25 2430_CAS01_ClaimAdjustmentGroup_1
MAP_MSTR_IK 432 26 2430_CAS02_ClaimAdjustmentReason_1
MAP_MSTR_IK 432 27 2430_CAS03_ClaimAdjustmentAmount_1
MAP_MSTR_IK 432 28 2430_CAS04_ClaimAdjustmentquantity_1
MAP_MSTR_IK 432 120 2430_DTP01_DateTimeQualifier
MAP_MSTR_IK 432 121 2430_DTP02_DateTimeFormat
MAP_MSTR_IK 432 122 2430_DTP03_ServicePaidDate
MAP_MSTR_IK 432 123 2430_AMT01_AmountQualifier
MAP_MSTR_IK 432 124 2430_AMT02_PatientLiabilityAmount
MAP_MSTR_IK 432 125 432-Filler 01
MAP_MSTR_IK 432 126 432-Filler 02
MAP_MSTR_IK 432 127 432-Filler 03
MAP_MSTR_IK 432 128 432-Filler 04
MAP_MSTR_IK 432 129 432-Filler 05
MAP_MSTR_IK 432 130 432-Filler 06
MAP_MSTR_IK 432 131 432-Filler 07
MAP_MSTR_IK 432 132 432-Filler 08
MAP_MSTR_IK 432 133 432-Filler 09
MAP_MSTR_IK 432 134 432-Filler 10
MAP_MSTR_IK 432 135 432-Filler 11
MAP_MSTR_IK 432 136 432-Filler 12
MAP_MSTR_IK 432 137 432-Filler 13
MAP_MSTR_IK 432 138 432-Filler 14
MAP_MSTR_IK 432 139 432-Filler 15
MAP_MSTR_IK TRAILER 1 01 Trailer Record
MAP_MSTR_IK TRAILER 2 TRT Record
MAP_MSTR_IK TRAILER 3 Total_Professional
MAP_MSTR_IK TRAILER 4 Total_Institutional
MAP_MSTR_IK TRAILER 5 Total_Dental
MAP_MSTR_IK TRAILER 6 Total_Claim_Count