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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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