ClaimService

	Field	Type	Length	Description
1	Record Type ID	String		Indicates the record type. For this record it will always be “ClaimService”.
2	ID	ID		Surrogate Key
3	Patient ID	REF		Surrogate key to a patientCorresponds to a (Patient line in the same file set)’s ID value
4	Claim ID	REF		Surrogate Key to a ClaimCorresponds to a (Claim line in the same file set)’s ID value
5	Start Date	Date
6	End Date	Date
7	Sequence	INTEGER	10
8	Units	INTEGER
9	Amount Claimed	Decimal	18, 10
10	Amount Paid	Decimal	18, 10
11	Comment	String	MAX
12	Service Code Term	Term		code\|name\|namespace\|family\|ns desc
13	Location Type Term	Term		code\|name\|namespace\|family\|ns desc
14	Status Term	Term		code\|name\|namespace\|family\|ns desc
15	Problem 1 Term	Term		code\|name\|namespace\|family\|ns desc
16	Problem 2 Term	Term		code\|name\|namespace\|family\|ns desc
17	Problem 3 Term	Term		code\|name\|namespace\|family\|ns desc
18	Problem 4 Term	Term		code\|name\|namespace\|family\|ns desc
19	Modifier 1 Term	Term		code\|name\|namespace\|family\|ns desc
20	Modifier 2 Term	Term		code\|name\|namespace\|family\|ns desc
21	Modifier 3 Term	Term		code\|name\|namespace\|family\|ns desc
22	Modifier 4 Term	Term		code\|name\|namespace\|family\|ns desc
23	Revenue Code Term	Term		code\|name\|namespace\|family\|ns desc
24	Patient Identifier	String	128	Natural Key for existing patient. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a patient
25	Patient Record Authority ID	REF		Surrogate Key to a Record Authority.
26	Claim Identifier	String	50	Natural Key for existing claim (along with known patient)
27	Inserted Audit Data	Audit		Audit data for when the record was inserted/created
28	Last Modified Audit Data	Audit		Audit data for when the record was last modified
29	Patient Paid	Decimal	18, 10