Electronic claim loop 2400 and element CN101

Loops and Segments Table - Loop 2400 - Service Line

Contract Information

Usage : Required
Element : CN101
Value :
01 = Diagnosis Related Group (DRG)
02 = Per Diem
03 = Variable Per Diem
04 = Flat
05 = Capitated
06 = Percent
09 = Other

Comment : Code to identify the contract type.


Usage : Situational
Element : CN102
Value : Nil
Comment : The amount of the contract agreement (Obligated to Accept as Payment in Full Amount).


Approved Amount

Usage : Required
Element : AMT01
Value : AAE
Comment : Code to identify the amount approved by the primary payer.

Usage : Required
Element : AMT02
Value : Nil
Comment : Code to identify the primary payer approved amount for each service line.