Version 1.17C-09

[Com1 Software]

Fixed odbc NDC 837 fields
Added fields to parse and export for 835:

CLAIMSUPPLEMENTALAMTAU
AU Coverage Amount
Location : AMT Segment, Element 2
Element 1 Qualifier AU

CLAIMSUPPLEMENTALAMTD8
D8 Discount Amount
Location : AMT Segment, Element 2
Element 1 Qualifier

CLAIMSUPPLEMENTALAMTDY
DY Per Day Limit
Location : AMT Segment, Element 2
Element 1 Qualifier

CLAIMSUPPLEMENTALAMTF5
F5 Patient Amount Paid
Location : AMT Segment, Element 2
Element 1 Qualifier

CLAIMSUPPLEMENTALAMTI
I Interest
Location : AMT Segment, Element 2
Element 1 Qualifier I

CLAIMSUPPLEMENTALAMTNL
NL Negative Ledger Balance
Location : AMT Segment, Element 2
Element 1 Qualifier NL

CLAIMSUPPLEMENTALAMTT2
T2 Total Claim Before Taxes
Location : AMT Segment, Element 2
Element 1 Qualifier T2

CLAIMSUPPLEMENTALAMTZK
ZK Federal Medicare or Medicaid Payment Mandate -
Category 1
Location : AMT Segment, Element 2
Element 1 Qualifier ZK

CLAIMSUPPLEMENTALAMTZL
ZL Federal Medicare or Medicaid Payment Mandate -
Category 2
Location : AMT Segment, Element 2
Element 1 Qualifier ZL

CLAIMSUPPLEMENTALAMTZM
ZM Federal Medicare or Medicaid Payment Mandate -
Category 3
Location : AMT Segment, Element 2
Element 1 Qualifier ZM

CLAIMSUPPLEMENTALAMTZN
ZN Federal Medicare or Medicaid Payment Mandate -
Category 4
Location : AMT Segment, Element 2
Element 1 Qualifier ZN

CLAIMSUPPLEMENTALAMTZO
ZO Federal Medicare or Medicaid Payment Mandate -
Category 5
Location : AMT Segment, Element 2
Element 1 Qualifier ZO

CLAIMSUPPLEMENTALAMTZZ
ZZ Mutually Defined
Location : AMT Segment, Element 2
Element 1 Qualifier ZZ

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The following fields were changed from CLAIMSUPPLEMENTALxx ro
CLAIMSUPPLEMENTALQTYxx.
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CLAIMSUPPLEMENTALQTYCA
Claim Supplemental Quantity Information Covered - Actual
Location : QTY Segment, Element 2
Element 1 Qualifier CA

CLAIMSUPPLEMENTALQTYCD
Claim Supplemental Quantity Information Co-insured - Actual
Location : QTY Segment, Element 2
Element 1 Qualifier CD

CLAIMSUPPLEMENTALQTYLA
Claim Supplemental Quantity Information Life-time Reserve - Actual
Location : QTY Segment, Element 2
Element 1 Qualifier LA

CLAIMSUPPLEMENTALQTYLE
Claim Supplemental Quantity Information Life-time Reserve - Estimate
Location : QTY Segment, Element 2
Element 1 Qualifier LE

CLAIMSUPPLEMENTALQTYNA
Claim Supplemental Quantity Information Number of Non-covered Days
Location : QTY Segment, Element 2
Element 1 Qualifier NA

CLAIMSUPPLEMENTALQTYNE
Claim Supplemental Quantity Information Non-Covered - Estimated
Location : QTY Segment, Element 2
Element 1 Qualifier NE

CLAIMSUPPLEMENTALQTYNR
Claim Supplemental Quantity Information Not Replaced Blood Units
Location : QTY Segment, Element 2
Element 1 Qualifier NR

CLAIMSUPPLEMENTALQTYOU
Claim Supplemental Quantity Information Outlier Days
Location : QTY Segment, Element 2
Element 1 Qualifier OU

CLAIMSUPPLEMENTALQTYPS
Claim Supplemental Quantity Information Prescription
Location : QTY Segment, Element 2
Element 1 Qualifier PS

CLAIMSUPPLEMENTALQTYVS
Claim Supplemental Quantity Information Visits
Location : QTY Segment, Element 2
Element 1 Qualifier VS

CLAIMSUPPLEMENTALQTYZK
Claim Supplemental Quantity Information Federal
Medicare or Medicaid Payment Mandate - Category 1
Location : QTY Segment, Element 2
Element 1 Qualifier ZK

CLAIMSUPPLEMENTALQTYZL
Claim Supplemental Quantity Information Federal
Medicare or Medicaid Payment Mandate - Category 2
Location : QTY Segment, Element 2
Element 1 Qualifier ZL

CLAIMSUPPLEMENTALQTYZM
Claim Supplemental Quantity Information Federal
Medicare or Medicaid Payment Mandate - Category 3
Location : QTY Segment, Element 2
Element 1 Qualifier ZM

CLAIMSUPPLEMENTALQTYZN
Claim Supplemental Quantity Information Federal
Medicare or Medicaid Payment Mandate - Category 4
Location : QTY Segment, Element 2
Element 1 Qualifier ZN

CLAIMSUPPLEMENTALQTYZO
Claim Supplemental Quantity Information Federal
Medicare or Medicaid Payment Mandate - Category 5
Location : QTY Segment, Element 2
Element 1 Qualifier ZO