Forms must be keyed in all CAPITAL LETTERS.
“Key what you see” means to literally key what you see. You are trying to replicate the form as it was submitted; you cannot fix errors.
“Key what you see” means to literally key what you see. You are trying to replicate the form as it was submitted; you cannot fix errors.
|
Field
No
|
HCFA
|
COMMON
VALUES
|
RULE
|
|
Header/
HSM |
Header_HSM
|
HSM followed by network name
|
Key what you see. Key the network
identification from the network header. Typically, this is included with the
network address on the top right of the form.
|
|
1
|
H01_Type
|
A B C D E F G
|
A=Medicare B=Medicaid C=Champus
D=Champ/VA
E=Group F=FECA
G=Other
|
|
1a
|
H01a_Insured_ID
|
|
Key what you see.
|
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