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Data Element Name:  Total Charges
Format-Length:  N - 12 Required For:  AS, ED, IP
Effective Date:  1/1/94 Revision Date:  July 2007
National Standard Mapping:

Electronic - 837I
X12 Loop
Ref. Des.
Data Element
Code
Description
Version 4050R 2300 CLM02 782 Total Claim Charges
Paper Form Locator Code Qualifier
Institutional - UB-04 47 N/A

Definition:

The total amount of all submitted charges of service segments for this claim.

Codes and Values:

  1. The amount must be entered in dollars and cents.

    Example: $125.24 would be entered as: 125.24

Edit Applications:

  1. Must equal the total of all submitted charges of service segments for this claim.
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