The Contract Information section displays specific basic data about the contract or contract line item. It is required when the submitter is contractually obligated to supply this information on post-adjudicated claims.
The Contract Information fields are defined below:
Code identifying a contract type. Options are:
| 01 | DRG |
| 02 | Per Diem |
| 03 | Variable Per Diem |
| 04 | Flat |
| 05 | Capitated |
| 06 | Percent |
| 09 | Other |
Fixed monetary amount pertaining to the contract.
Percent of charges payable under the contract.
Term Discount %Term Discount %
Discount percentage available to the payer for payment within a specific time period.
Code identifying the specific contract, established by the payer.
Version IdentifierVersion Identifier
Identification of additional or supplemental contract provisions, or identification of a particular version or modification of contract.
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