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.

Monetary amount.

Monetary amount.

Monetary amount.

Code identifying the type of health insurance or program.

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 position of the uniform bill type or place of service from health care financing administration claim form or place of treatment from the dental claim form

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