837 Health Care Claim: Institutional - Louisiana Medicaid
837 Health Care Claim: Institutional - Louisiana Medicaid
837 Health Care Claim: Institutional - Louisiana Medicaid
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06/30/2014 <strong>Health</strong> <strong>Care</strong> <strong>Claim</strong>: <strong>Institutional</strong> - <strong>837</strong>GEFunctional Group TrailerPos: Max: 1Not Defined - MandatoryLoop: N/A Elements: 2User Option (Usage): RequiredElement Summary:Ref Id Element Name Req Type Min/MaxGE01 97 Number of Transaction Sets Included M N0 1/6LA <strong>Medicaid</strong>: Number of Transaction Sets includedGE02 28 Group Control Number M N0 1/9LA <strong>Medicaid</strong>: Must be identical to the value in GS06IEAInterchange Control TrailerPos: Max: 1Not Defined - MandatoryLoop: N/A Elements: 2User Option (Usage): RequiredElement Summary:Ref Id Element Name Req Type Min/MaxIEA01 I16 Number of Included Functional Groups M N0 1/5LA <strong>Medicaid</strong>: Number of included Functional GroupsIEA02 I12 Interchange Control Number M N0 9/9LA <strong>Medicaid</strong>: Must be identical to the value in ISA1324
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