Claim Detail Message Suite: Part 2 - Record Type Definitions

eGo back to the overview page for the Claim Detail Message Suite here.

Read the text of the current version 1.0

• 1 Introduction
• 2 Scope
  • 2.1 Introduction
  • 2.2 Organisation of the Document
• 3 Normative References
• 4 Terms and Abbreviations
• 5 Record Type Definitions
  • 5.1 Header and Footer Record Types
    • 5.1.1 CDMH — Header Record for Claim Detail Messages and Claim Detail Discrepancy Notifications
    • 5.1.2 SRFO – Footer Record for Claim Detail Messages and Claim Detail Discrepancy Notifications
  • 5.2 Summary Record Types
    • 5.2.1 CS01 — Basic Summary Record for Post-Usage Claim Detail Messages
    • 5.2.2 CS02 — Basic Financial Record for Post Usage Claim Detail Messages
    • 5.2.3 CS03 — Basic Summary Record for Pre-Usage Claim Detail Messages
    • 5.2.4 CDS1 – Summary Record for Claim Detail Discrepancy Notifications
  • 5.3 Detailed Record Types
    • 5.3.1 CD01 — Basic Claim Detail Record with Financial Information
    • 5.3.2 CD02 — Basic Record for Correcting Claim Detail Records with Financial Information
    • 5.3.3 CD03 — Basic Claim Detail Record without Financial Information
    • 5.3.4 CD04 — Basic Record for Correcting Claim Detail Records without Financial Information
    • 5.3.5 CX01 — Auxiliary Information
    • 5.3.6 CDD1 – Record for Claim Detail Record Discrepancies
    • 5.3.7 CDD2 – Record for Over-claim Discrepancies
    • 5.3.8 CDD3 – Licensor-specific Record for Over-claim Discrepancies

Other resources

• PDF version of this standard (PDF)

• Sample files