Sections
Sections are expandable and collapsible with the links at the right margin or on the shaded tables:
Sections include:
|
Form Section |
Corresponding EDI location |
|
Header Information at the top |
Table 1 in an EDI document |
|
Claim Payment Information (shaded) – expand |
2000 loop |
|
Header Information when Claim Payment Information is expanded |
2000 loop |
|
Claim Payment Detail Claim Level, MIA, MOA |
2100 loop |
|
Service Line Information |
2110 loop |
|
PLB Adjustments – PLB |
PLB segment |