837 Health Care Claim: Institutional - Louisiana Medicaid

06/30/2014 Health Care Claim: Institutional - 837CTPDrug QuantityPos: 4940 Max: 1Detail - OptionalLoop: 2410 Elements: 2User Option (Usage): RequiredLA Medicaid:Quantity, and Unit or Basis for Measurement Codes are all required for claims for drugs to process correctly.Element Summary:Ref IdCTP04 380Element NameQuantityLA Medicaid: Enter the quantity or actual units administered.The maximum quantity that can be added for Louisiana Medicaid isseven whole numbers and three decimal places.ReqXTypeRMin/Max1/15CTP05-01 355 Unit or Basis for Measurement Code M ID 2/2LA Medicaid: Enter the appropriate unit or basis of measurementcode:F2 - International UnitGR – GramME - MilligramML - MilliliterUN - UnitNM1User Option (Usage): OptionalRendering Provider NamePos: 5000 Max: 1Detail - OptionalLoop: 2420C Elements: 8LA Medicaid:If present, the rendering provider identified in this Loop applies to the linelevel, and overrides the attending provider identified at the claim level in Loop2310A.20