EDI 837 All Fields — Data Dictionary
This page documents every column in the “All Fields” output produced by the Client‑Side EDI 837 converter, including a high‑level EDI segment/element source for each field.
The 530-column schema is exhaustive for the converter's public All Fields projection, with explicit subtype and occurrence boundaries; it is not exhaustive for the X12 implementation guides.
Download the 837 All Fields Data Map
Full CSV/Excel mapping of every All Fields column, including source segments. No PHI.
Column Definitions
Applies to Client‑Side EDI 837 “All Fields” format
| Column | EDI Source | Description |
|---|---|---|
| FileName | N/A (converter input metadata) | Name of the input EDI file. |
| TransactionType | ST03 | Exact implementation routing: X222A1 = 837P, X223A2 = 837I, X224A2 = 837D; unsupported versions are reported conservatively as 837. |
| RecordType | N/A (converter) | CLAIM or LINE. Service rows are emitted before their claim row. |
| ClaimIndex | N/A (converter) | One-based physical CLM occurrence within the parsed input. |
| LineIndex | N/A (converter) | One-based mapped service occurrence within the claim; blank on CLAIM rows. |
| TransactionControlNumber | ST02 | Transaction-set control number from the enclosing ST segment. |
| ISA_ControlNumber | ISA13 | Interchange control number from the enclosing ISA envelope. |
| GS_ControlNumber | GS06 | Functional-group control number from the enclosing GS envelope. |
| ST_ControlNumber | ST02 | Transaction-set control number, retained under the structural All Fields name. |
| 1000A_submitter_id | 1000A NM1*41, NM108/NM109 | Submitter identifier, preserved with its qualifier when present. |
| 1000A_submitter_name | 1000A NM1*41, NM103-NM105 | Submitter organization or person name. |
| 1000A_address1 | 1000A N301 | Submitter address line 1. |
| 1000A_address2 | 1000A N302 | Submitter address line 2. |
| 1000A_city | 1000A N401 | Submitter city. |
| 1000A_state | 1000A N402 | Submitter state/province code. |
| 1000A_zip | 1000A N403 | Submitter postal code. |
| 1000A_PER_1_name | 1000A PER, PER02 | Submitter contact name, bounded communication occurrence 1 of 3. |
| 1000A_PER_1_comm_qual | 1000A PER, PER03/PER05/PER07 | Submitter communication qualifier, bounded communication occurrence 1 of 3. |
| 1000A_PER_1_comm | 1000A PER, PER04/PER06/PER08 | Submitter communication value, bounded communication occurrence 1 of 3. |
| 1000A_PER_2_name | 1000A PER, PER02 | Submitter contact name, bounded communication occurrence 2 of 3. |
| 1000A_PER_2_comm_qual | 1000A PER, PER03/PER05/PER07 | Submitter communication qualifier, bounded communication occurrence 2 of 3. |
| 1000A_PER_2_comm | 1000A PER, PER04/PER06/PER08 | Submitter communication value, bounded communication occurrence 2 of 3. |
| 1000A_PER_3_name | 1000A PER, PER02 | Submitter contact name, bounded communication occurrence 3 of 3. |
| 1000A_PER_3_comm_qual | 1000A PER, PER03/PER05/PER07 | Submitter communication qualifier, bounded communication occurrence 3 of 3. |
| 1000A_PER_3_comm | 1000A PER, PER04/PER06/PER08 | Submitter communication value, bounded communication occurrence 3 of 3. |
| 1000B_receiver_id | 1000B NM1*40, NM108/NM109 | Receiver identifier, preserved with its qualifier when present. |
| 1000B_receiver_name | 1000B NM1*40, NM103-NM105 | Receiver organization or person name. |
| 1000B_address1 | 1000B N301 | Receiver address line 1. |
| 1000B_address2 | 1000B N302 | Receiver address line 2. |
| 1000B_city | 1000B N401 | Receiver city. |
| 1000B_state | 1000B N402 | Receiver state/province code. |
| 1000B_zip | 1000B N403 | Receiver postal code. |
| 2010AA_id | 2010AA NM1*85, NM108/NM109 | Billing Provider identifier, preserved with its qualifier when present. |
| 2010AA_name | 2010AA NM1*85, NM103-NM105 | Billing Provider organization or person name. |
| 2010AA_tax_id | 2010AA REF02 when REF01=EI or TJ | Billing provider tax identifier; no other REF qualifier populates this column. |
| 2010AA_taxonomy | 2010AA PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Billing provider taxonomy code from the supported taxonomy source. |
| 2010AA_address1 | 2010AA N301 | Billing Provider address line 1. |
| 2010AA_address2 | 2010AA N302 | Billing Provider address line 2. |
| 2010AA_city | 2010AA N401 | Billing Provider city. |
| 2010AA_state | 2010AA N402 | Billing Provider state/province code. |
| 2010AA_zip | 2010AA N403 | Billing Provider postal code. |
| 2010AA_contact_1_comm_qual | 2010AA PER, PER03/PER05/PER07 | Billing Provider communication qualifier, bounded communication occurrence 1 of 3. |
| 2010AA_contact_1_comm | 2010AA PER, PER04/PER06/PER08 | Billing Provider communication value, bounded communication occurrence 1 of 3. |
| 2010AA_contact_2_comm_qual | 2010AA PER, PER03/PER05/PER07 | Billing Provider communication qualifier, bounded communication occurrence 2 of 3. |
| 2010AA_contact_2_comm | 2010AA PER, PER04/PER06/PER08 | Billing Provider communication value, bounded communication occurrence 2 of 3. |
| 2010AA_contact_3_comm_qual | 2010AA PER, PER03/PER05/PER07 | Billing Provider communication qualifier, bounded communication occurrence 3 of 3. |
| 2010AA_contact_3_comm | 2010AA PER, PER04/PER06/PER08 | Billing Provider communication value, bounded communication occurrence 3 of 3. |
| 2010AB_id | 2010AB NM1*87, NM108/NM109 | Pay-To Provider identifier, preserved with its qualifier when present. |
| 2010AB_name | 2010AB NM1*87, NM103-NM105 | Pay-To Provider organization or person name. |
| 2010AB_address1 | 2010AB N301 | Pay-To Provider address line 1. |
| 2010AB_address2 | 2010AB N302 | Pay-To Provider address line 2. |
| 2010AB_city | 2010AB N401 | Pay-To Provider city. |
| 2010AB_state | 2010AB N402 | Pay-To Provider state/province code. |
| 2010AB_zip | 2010AB N403 | Pay-To Provider postal code. |
| 2010BA_member_id | 2010BA NM1*IL, NM108/NM109 | Primary Subscriber identifier, preserved with its qualifier when present. |
| 2010BA_last | 2010BA NM1*IL, NM103 | Primary Subscriber last name. |
| 2010BA_first | 2010BA NM1*IL, NM104 | Primary Subscriber first name. |
| 2010BA_middle | 2010BA NM1*IL, NM105 | Primary Subscriber middle name. |
| 2010BA_dob | 2010BA DMG02 (DMG01=D8) | Primary Subscriber birth date, normalized from CCYYMMDD to YYYY-MM-DD when valid. |
| 2010BA_gender | 2010BA DMG03 | Primary Subscriber gender code. |
| 2010BA_address1 | 2010BA N301 | Primary Subscriber address line 1. |
| 2010BA_address2 | 2010BA N302 | Primary Subscriber address line 2. |
| 2010BA_city | 2010BA N401 | Primary Subscriber city. |
| 2010BA_state | 2010BA N402 | Primary Subscriber state/province code. |
| 2010BA_zip | 2010BA N403 | Primary Subscriber postal code. |
| 2010BB_id | 2010BB NM1*PR, NM108/NM109 | Primary Payer identifier, preserved with its qualifier when present. |
| 2010BB_name | 2010BB NM1*PR, NM103-NM105 | Primary Payer organization or person name. |
| 2010BB_address1 | 2010BB N301 | Primary Payer address line 1. |
| 2010BB_address2 | 2010BB N302 | Primary Payer address line 2. |
| 2010BB_city | 2010BB N401 | Primary Payer city. |
| 2010BB_state | 2010BB N402 | Primary Payer state/province code. |
| 2010BB_zip | 2010BB N403 | Primary Payer postal code. |
| 2010CA_last | 2010CA NM1*QC, NM103 | Dependent Patient last name. Blank when no dependent-patient loop exists; subscriber data is not substituted. |
| 2010CA_first | 2010CA NM1*QC, NM104 | Dependent Patient first name. Blank when no dependent-patient loop exists; subscriber data is not substituted. |
| 2010CA_middle | 2010CA NM1*QC, NM105 | Dependent Patient middle name. Blank when no dependent-patient loop exists; subscriber data is not substituted. |
| 2010CA_dob | 2010CA DMG02 (DMG01=D8) | Dependent Patient birth date, normalized from CCYYMMDD to YYYY-MM-DD when valid. Blank when no dependent-patient loop exists. |
| 2010CA_gender | 2010CA DMG03 | Dependent Patient gender code. Blank when no dependent-patient loop exists. |
| 2010CA_address1 | 2010CA N301 | Dependent Patient address line 1. |
| 2010CA_address2 | 2010CA N302 | Dependent Patient address line 2. |
| 2010CA_city | 2010CA N401 | Dependent Patient city. |
| 2010CA_state | 2010CA N402 | Dependent Patient state/province code. |
| 2010CA_zip | 2010CA N403 | Dependent Patient postal code. |
| 2300_CLM01_claim_id | 2300 CLM01 | Submitter's claim/patient control number. |
| 2300_CLM02_claim_charge | 2300 CLM02 | Claim total billed amount as sent. |
| 2300_CLM05_1_facility_type | 2300 CLM05-1 | Facility type/place-of-service component. |
| 2300_CLM05_3_frequency | 2300 CLM05-3 | Claim frequency component. |
| 2300_tob | Derived from CLM05-1 and CLM05-3 | Compatibility/convenience value formed from mapped facility and frequency components; not a separate X12 element or exhaustive guide interpretation. |
| 2300_DTP_434_statement_from | 2300 DTP*434, DTP03 D8 or RD8 start | Statement-period start date. |
| 2300_DTP_435_statement_to | 2300 DTP*434, DTP03 RD8 end (D8 repeats) | Statement-period end from the same DTP*434 value. The column's historical 435 name is retained for schema compatibility; DTP*435 is not read. |
| 2300_DTP_431_onset | 2300 DTP*431, DTP03 D8 | Onset date normalized to YYYY-MM-DD when valid. |
| 2300_DTP_454_initial_treatment | 2300 DTP*454, DTP03 D8 | Initial treatment date normalized to YYYY-MM-DD when valid. |
| 2300_DTP_304_last_seen | 2300 DTP*304, DTP03 D8 | Last-seen date normalized to YYYY-MM-DD when valid. |
| 2300_DTP_439_accident | 2300 DTP*439, DTP03 D8 | Accident date normalized to YYYY-MM-DD when valid. |
| 2300_DTP_438_accident_hour | 2300 DTP*438, DTP03 | Accident hour/time value as sent. |
| 2300_DTP_484_lmp | 2300 DTP*484, DTP03 D8 | Last menstrual period date normalized to YYYY-MM-DD when valid. |
| 2300_REF_1_qual | 2300 REF01, source occurrence 1 | Claim-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_1_value | 2300 REF02, source occurrence 1 | Claim-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_2_qual | 2300 REF01, source occurrence 2 | Claim-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_2_value | 2300 REF02, source occurrence 2 | Claim-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_3_qual | 2300 REF01, source occurrence 3 | Claim-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_3_value | 2300 REF02, source occurrence 3 | Claim-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_4_qual | 2300 REF01, source occurrence 4 | Claim-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_4_value | 2300 REF02, source occurrence 4 | Claim-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_5_qual | 2300 REF01, source occurrence 5 | Claim-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_5_value | 2300 REF02, source occurrence 5 | Claim-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_6_qual | 2300 REF01, source occurrence 6 | Claim-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_6_value | 2300 REF02, source occurrence 6 | Claim-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_7_qual | 2300 REF01, source occurrence 7 | Claim-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_7_value | 2300 REF02, source occurrence 7 | Claim-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_8_qual | 2300 REF01, source occurrence 8 | Claim-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_8_value | 2300 REF02, source occurrence 8 | Claim-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_9_qual | 2300 REF01, source occurrence 9 | Claim-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_9_value | 2300 REF02, source occurrence 9 | Claim-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_10_qual | 2300 REF01, source occurrence 10 | Claim-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_REF_10_value | 2300 REF02, source occurrence 10 | Claim-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_1_qual | 2300 AMT01, source occurrence 1 | Claim-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_1_amount | 2300 AMT02, source occurrence 1 | Claim-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_2_qual | 2300 AMT01, source occurrence 2 | Claim-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_2_amount | 2300 AMT02, source occurrence 2 | Claim-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_3_qual | 2300 AMT01, source occurrence 3 | Claim-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_3_amount | 2300 AMT02, source occurrence 3 | Claim-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_4_qual | 2300 AMT01, source occurrence 4 | Claim-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_4_amount | 2300 AMT02, source occurrence 4 | Claim-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_5_qual | 2300 AMT01, source occurrence 5 | Claim-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_5_amount | 2300 AMT02, source occurrence 5 | Claim-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_6_qual | 2300 AMT01, source occurrence 6 | Claim-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_6_amount | 2300 AMT02, source occurrence 6 | Claim-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_7_qual | 2300 AMT01, source occurrence 7 | Claim-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_7_amount | 2300 AMT02, source occurrence 7 | Claim-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_8_qual | 2300 AMT01, source occurrence 8 | Claim-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_8_amount | 2300 AMT02, source occurrence 8 | Claim-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_9_qual | 2300 AMT01, source occurrence 9 | Claim-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_9_amount | 2300 AMT02, source occurrence 9 | Claim-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_10_qual | 2300 AMT01, source occurrence 10 | Claim-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_AMT_10_amount | 2300 AMT02, source occurrence 10 | Claim-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_1_qual | 2300 QTY01, source occurrence 1 | Claim-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_1_value | 2300 QTY02, source occurrence 1 | Claim-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_2_qual | 2300 QTY01, source occurrence 2 | Claim-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_2_value | 2300 QTY02, source occurrence 2 | Claim-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_3_qual | 2300 QTY01, source occurrence 3 | Claim-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_3_value | 2300 QTY02, source occurrence 3 | Claim-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_4_qual | 2300 QTY01, source occurrence 4 | Claim-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_4_value | 2300 QTY02, source occurrence 4 | Claim-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_5_qual | 2300 QTY01, source occurrence 5 | Claim-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_5_value | 2300 QTY02, source occurrence 5 | Claim-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_6_qual | 2300 QTY01, source occurrence 6 | Claim-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_6_value | 2300 QTY02, source occurrence 6 | Claim-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_7_qual | 2300 QTY01, source occurrence 7 | Claim-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_7_value | 2300 QTY02, source occurrence 7 | Claim-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_8_qual | 2300 QTY01, source occurrence 8 | Claim-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_8_value | 2300 QTY02, source occurrence 8 | Claim-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_9_qual | 2300 QTY01, source occurrence 9 | Claim-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_9_value | 2300 QTY02, source occurrence 9 | Claim-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_10_qual | 2300 QTY01, source occurrence 10 | Claim-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_QTY_10_value | 2300 QTY02, source occurrence 10 | Claim-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_NTE_1_qual | 2300 NTE01, source occurrence 1 | Claim-level NTE qual; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_NTE_1_text | 2300 NTE02, source occurrence 1 | Claim-level NTE text; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_NTE_2_qual | 2300 NTE01, source occurrence 2 | Claim-level NTE qual; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_NTE_2_text | 2300 NTE02, source occurrence 2 | Claim-level NTE text; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_NTE_3_qual | 2300 NTE01, source occurrence 3 | Claim-level NTE qual; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_NTE_3_text | 2300 NTE02, source occurrence 3 | Claim-level NTE text; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_NTE_4_qual | 2300 NTE01, source occurrence 4 | Claim-level NTE qual; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_NTE_4_text | 2300 NTE02, source occurrence 4 | Claim-level NTE text; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_NTE_5_qual | 2300 NTE01, source occurrence 5 | Claim-level NTE qual; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_NTE_5_text | 2300 NTE02, source occurrence 5 | Claim-level NTE text; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2300_prior_auth | 2300 REF02; first REF01=G1, then X4 | First supported claim prior-authorization/referral reference. |
| 2300_med_rec_num | 2300 REF02; first REF01=EA, then MR | First supported claim medical-record reference. |
| 2300_HI_DX_1_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 1 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_1_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 1 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_2_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 2 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_2_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 2 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_3_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 3 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_3_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 3 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_4_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 4 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_4_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 4 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_5_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 5 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_5_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 5 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_6_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 6 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_6_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 6 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_7_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 7 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_7_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 7 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_8_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 8 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_8_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 8 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_9_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 9 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_9_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 9 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_10_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 10 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_10_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 10 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_11_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 11 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_11_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 11 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_12_qual | 2300 HI, HI composite 1; qualifiers ABK/ABF/BK/BF | Diagnosis qual, supported diagnosis occurrence 12 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_DX_12_code | 2300 HI, HI composite 2; qualifiers ABK/ABF/BK/BF | Diagnosis code, supported diagnosis occurrence 12 of 12. Other HI qualifier families do not populate diagnosis columns. |
| 2300_HI_PR_1_qual | 837I 2300 HI, HI composite 1; qualifiers BR/BO/BP | Institutional procedure qual, supported occurrence 1 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_1_code | 837I 2300 HI, HI composite 2; qualifiers BR/BO/BP | Institutional procedure code, supported occurrence 1 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_1_date | 837I 2300 HI, HI composite 4 when composite 3=D8; qualifiers BR/BO/BP | Institutional procedure date, supported occurrence 1 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_2_qual | 837I 2300 HI, HI composite 1; qualifiers BR/BO/BP | Institutional procedure qual, supported occurrence 2 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_2_code | 837I 2300 HI, HI composite 2; qualifiers BR/BO/BP | Institutional procedure code, supported occurrence 2 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_2_date | 837I 2300 HI, HI composite 4 when composite 3=D8; qualifiers BR/BO/BP | Institutional procedure date, supported occurrence 2 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_3_qual | 837I 2300 HI, HI composite 1; qualifiers BR/BO/BP | Institutional procedure qual, supported occurrence 3 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_3_code | 837I 2300 HI, HI composite 2; qualifiers BR/BO/BP | Institutional procedure code, supported occurrence 3 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_3_date | 837I 2300 HI, HI composite 4 when composite 3=D8; qualifiers BR/BO/BP | Institutional procedure date, supported occurrence 3 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_4_qual | 837I 2300 HI, HI composite 1; qualifiers BR/BO/BP | Institutional procedure qual, supported occurrence 4 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_4_code | 837I 2300 HI, HI composite 2; qualifiers BR/BO/BP | Institutional procedure code, supported occurrence 4 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_4_date | 837I 2300 HI, HI composite 4 when composite 3=D8; qualifiers BR/BO/BP | Institutional procedure date, supported occurrence 4 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_5_qual | 837I 2300 HI, HI composite 1; qualifiers BR/BO/BP | Institutional procedure qual, supported occurrence 5 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_5_code | 837I 2300 HI, HI composite 2; qualifiers BR/BO/BP | Institutional procedure code, supported occurrence 5 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_5_date | 837I 2300 HI, HI composite 4 when composite 3=D8; qualifiers BR/BO/BP | Institutional procedure date, supported occurrence 5 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_6_qual | 837I 2300 HI, HI composite 1; qualifiers BR/BO/BP | Institutional procedure qual, supported occurrence 6 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_6_code | 837I 2300 HI, HI composite 2; qualifiers BR/BO/BP | Institutional procedure code, supported occurrence 6 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2300_HI_PR_6_date | 837I 2300 HI, HI composite 4 when composite 3=D8; qualifiers BR/BO/BP | Institutional procedure date, supported occurrence 6 of 6. Blank for other subtypes and unsupported HI qualifier families. |
| 2310_rendering_id | 2310 supported rendering loop (P: NM1*82; I: NM1*82; D: NM1*82), NM109 when NM108=XX | Qualified NPI for the rendering; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_rendering_name | 2310 supported rendering loop (P: NM1*82; I: NM1*82; D: NM1*82), NM103-NM105 | Rendering name. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_rendering_taxonomy | 2310 supported rendering loop (P: NM1*82; I: NM1*82; D: NM1*82), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Rendering taxonomy. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_rendering_address1 | 2310 supported rendering loop (P: NM1*82; I: NM1*82; D: NM1*82), N301 | Rendering address line 1. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_rendering_address2 | 2310 supported rendering loop (P: NM1*82; I: NM1*82; D: NM1*82), N302 | Rendering address line 2. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_rendering_city | 2310 supported rendering loop (P: NM1*82; I: NM1*82; D: NM1*82), N401 | Rendering city. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_rendering_state | 2310 supported rendering loop (P: NM1*82; I: NM1*82; D: NM1*82), N402 | Rendering state/province code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_rendering_zip | 2310 supported rendering loop (P: NM1*82; I: NM1*82; D: NM1*82), N403 | Rendering postal code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_referring_id | 2310 supported referring loop (P: NM1*DN; I: NM1*DN; D: NM1*DN), NM109 when NM108=XX | Qualified NPI for the referring; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_referring_name | 2310 supported referring loop (P: NM1*DN; I: NM1*DN; D: NM1*DN), NM103-NM105 | Referring name. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_referring_taxonomy | 2310 supported referring loop (P: NM1*DN; I: NM1*DN; D: NM1*DN), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Referring taxonomy. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_referring_address1 | 2310 supported referring loop (P: NM1*DN; I: NM1*DN; D: NM1*DN), N301 | Referring address line 1. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_referring_address2 | 2310 supported referring loop (P: NM1*DN; I: NM1*DN; D: NM1*DN), N302 | Referring address line 2. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_referring_city | 2310 supported referring loop (P: NM1*DN; I: NM1*DN; D: NM1*DN), N401 | Referring city. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_referring_state | 2310 supported referring loop (P: NM1*DN; I: NM1*DN; D: NM1*DN), N402 | Referring state/province code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_referring_zip | 2310 supported referring loop (P: NM1*DN; I: NM1*DN; D: NM1*DN), N403 | Referring postal code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_supervising_id | 2310 supported supervising loop (P: NM1*DQ), NM109 when NM108=XX | Qualified NPI for the supervising; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_supervising_name | 2310 supported supervising loop (P: NM1*DQ), NM103-NM105 | Supervising name. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_supervising_taxonomy | 2310 supported supervising loop (P: NM1*DQ), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Supervising taxonomy. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_supervising_address1 | 2310 supported supervising loop (P: NM1*DQ), N301 | Supervising address line 1. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_supervising_address2 | 2310 supported supervising loop (P: NM1*DQ), N302 | Supervising address line 2. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_supervising_city | 2310 supported supervising loop (P: NM1*DQ), N401 | Supervising city. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_supervising_state | 2310 supported supervising loop (P: NM1*DQ), N402 | Supervising state/province code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_supervising_zip | 2310 supported supervising loop (P: NM1*DQ), N403 | Supervising postal code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_service_facility_id | 2310 supported service facility loop (P/I/D: NM1*77), NM109 when NM108=XX | Qualified NPI for the service facility; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_service_facility_name | 2310 supported service facility loop (P/I/D: NM1*77), NM103-NM105 | Service Facility name. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_service_facility_taxonomy | 2310 supported service facility loop (P/I/D: NM1*77), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Service Facility taxonomy. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_service_facility_address1 | 2310 supported service facility loop (P/I/D: NM1*77), N301 | Service Facility address line 1. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_service_facility_address2 | 2310 supported service facility loop (P/I/D: NM1*77), N302 | Service Facility address line 2. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_service_facility_city | 2310 supported service facility loop (P/I/D: NM1*77), N401 | Service Facility city. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_service_facility_state | 2310 supported service facility loop (P/I/D: NM1*77), N402 | Service Facility state/province code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_service_facility_zip | 2310 supported service facility loop (P/I/D: NM1*77), N403 | Service Facility postal code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_attending_id | 2310 supported attending loop (I: NM1*71), NM109 when NM108=XX | Qualified NPI for the attending; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_attending_name | 2310 supported attending loop (I: NM1*71), NM103-NM105 | Attending name. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_attending_taxonomy | 2310 supported attending loop (I: NM1*71), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Attending taxonomy. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_attending_address1 | 2310 supported attending loop (I: NM1*71), N301 | Attending address line 1. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_attending_address2 | 2310 supported attending loop (I: NM1*71), N302 | Attending address line 2. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_attending_city | 2310 supported attending loop (I: NM1*71), N401 | Attending city. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_attending_state | 2310 supported attending loop (I: NM1*71), N402 | Attending state/province code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_attending_zip | 2310 supported attending loop (I: NM1*71), N403 | Attending postal code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_operating_id | 2310 supported operating loop (I: NM1*72), NM109 when NM108=XX | Qualified NPI for the operating; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_operating_name | 2310 supported operating loop (I: NM1*72), NM103-NM105 | Operating name. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_operating_taxonomy | 2310 supported operating loop (I: NM1*72), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Operating taxonomy. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_operating_address1 | 2310 supported operating loop (I: NM1*72), N301 | Operating address line 1. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_operating_address2 | 2310 supported operating loop (I: NM1*72), N302 | Operating address line 2. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_operating_city | 2310 supported operating loop (I: NM1*72), N401 | Operating city. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_operating_state | 2310 supported operating loop (I: NM1*72), N402 | Operating state/province code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_operating_zip | 2310 supported operating loop (I: NM1*72), N403 | Operating postal code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_other_id | 2310 supported other loop (I: NM1*ZZ), NM109 when NM108=XX | Qualified NPI for the other; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_other_name | 2310 supported other loop (I: NM1*ZZ), NM103-NM105 | Other name. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_other_taxonomy | 2310 supported other loop (I: NM1*ZZ), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Other taxonomy. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_other_address1 | 2310 supported other loop (I: NM1*ZZ), N301 | Other address line 1. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_other_address2 | 2310 supported other loop (I: NM1*ZZ), N302 | Other address line 2. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_other_city | 2310 supported other loop (I: NM1*ZZ), N401 | Other city. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_other_state | 2310 supported other loop (I: NM1*ZZ), N402 | Other state/province code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2310_other_zip | 2310 supported other loop (I: NM1*ZZ), N403 | Other postal code. Mapped only for the listed subtype/role combinations at claim scope; blank otherwise. |
| 2320_1_other_payer_paid_amt | 2320 AMT02 when AMT01=D | COB other-payer paid amount, other-subscriber loop 1 of 3. Additional loops are not projected into Smart Mapping. |
| 2320_1_other_payer_seq | 2320 SBR01 | COB payer responsibility sequence, other-subscriber loop 1 of 3. Additional loops are not projected into Smart Mapping. |
| 2320_1_benefits_assign_ind | 2320 OI03 | COB benefits-assignment indicator, other-subscriber loop 1 of 3. Additional loops are not projected into Smart Mapping. |
| 2330_1_payer_id | 2330 NM1*PR, NM109 | COB other payer identifier, corresponding other-payer loop 1 of 3. |
| 2330_1_payer_name | 2330 NM1*PR, NM103 | COB other payer name, corresponding other-payer loop 1 of 3. |
| 2330_1_address1 | 2330 N301 | COB other payer address line 1, corresponding other-payer loop 1 of 3. |
| 2330_1_address2 | 2330 N302 | COB other payer address line 2, corresponding other-payer loop 1 of 3. |
| 2330_1_city | 2330 N401 | COB other payer city, corresponding other-payer loop 1 of 3. |
| 2330_1_state | 2330 N402 | COB other payer state/province code, corresponding other-payer loop 1 of 3. |
| 2330_1_zip | 2330 N403 | COB other payer postal code, corresponding other-payer loop 1 of 3. |
| 2320_2_other_payer_paid_amt | 2320 AMT02 when AMT01=D | COB other-payer paid amount, other-subscriber loop 2 of 3. Additional loops are not projected into Smart Mapping. |
| 2320_2_other_payer_seq | 2320 SBR01 | COB payer responsibility sequence, other-subscriber loop 2 of 3. Additional loops are not projected into Smart Mapping. |
| 2320_2_benefits_assign_ind | 2320 OI03 | COB benefits-assignment indicator, other-subscriber loop 2 of 3. Additional loops are not projected into Smart Mapping. |
| 2330_2_payer_id | 2330 NM1*PR, NM109 | COB other payer identifier, corresponding other-payer loop 2 of 3. |
| 2330_2_payer_name | 2330 NM1*PR, NM103 | COB other payer name, corresponding other-payer loop 2 of 3. |
| 2330_2_address1 | 2330 N301 | COB other payer address line 1, corresponding other-payer loop 2 of 3. |
| 2330_2_address2 | 2330 N302 | COB other payer address line 2, corresponding other-payer loop 2 of 3. |
| 2330_2_city | 2330 N401 | COB other payer city, corresponding other-payer loop 2 of 3. |
| 2330_2_state | 2330 N402 | COB other payer state/province code, corresponding other-payer loop 2 of 3. |
| 2330_2_zip | 2330 N403 | COB other payer postal code, corresponding other-payer loop 2 of 3. |
| 2320_3_other_payer_paid_amt | 2320 AMT02 when AMT01=D | COB other-payer paid amount, other-subscriber loop 3 of 3. Additional loops are not projected into Smart Mapping. |
| 2320_3_other_payer_seq | 2320 SBR01 | COB payer responsibility sequence, other-subscriber loop 3 of 3. Additional loops are not projected into Smart Mapping. |
| 2320_3_benefits_assign_ind | 2320 OI03 | COB benefits-assignment indicator, other-subscriber loop 3 of 3. Additional loops are not projected into Smart Mapping. |
| 2330_3_payer_id | 2330 NM1*PR, NM109 | COB other payer identifier, corresponding other-payer loop 3 of 3. |
| 2330_3_payer_name | 2330 NM1*PR, NM103 | COB other payer name, corresponding other-payer loop 3 of 3. |
| 2330_3_address1 | 2330 N301 | COB other payer address line 1, corresponding other-payer loop 3 of 3. |
| 2330_3_address2 | 2330 N302 | COB other payer address line 2, corresponding other-payer loop 3 of 3. |
| 2330_3_city | 2330 N401 | COB other payer city, corresponding other-payer loop 3 of 3. |
| 2330_3_state | 2330 N402 | COB other payer state/province code, corresponding other-payer loop 3 of 3. |
| 2330_3_zip | 2330 N403 | COB other payer postal code, corresponding other-payer loop 3 of 3. |
| 2400_LX_index | N/A (converter service occurrence) | One-based mapped SV1/SV2/SV3 occurrence within the claim; this is not source LX01. |
| 2400_SV1_proc_qual | 837P SV101-1 | Professional product/service ID qualifier; blank for other subtypes. |
| 2400_SV1_proc_code | 837P SV101-2 | Professional procedure code; blank for other subtypes. |
| 2400_SV1_mod1 | 837P SV101-3 | Professional procedure modifier 1; blank for other subtypes. |
| 2400_SV1_mod2 | 837P SV101-4 | Professional procedure modifier 2; blank for other subtypes. |
| 2400_SV1_mod3 | 837P SV101-5 | Professional procedure modifier 3; blank for other subtypes. |
| 2400_SV1_mod4 | 837P SV101-6 | Professional procedure modifier 4; blank for other subtypes. |
| 2400_SV1_charge | 837P SV102 | Professional line billed amount; blank for other subtypes. |
| 2400_SV1_units | 837P SV104 | Professional line units; blank for other subtypes. |
| 2400_SV1_pos | 837P SV105 | Professional line place-of-service code; blank for other subtypes. |
| 2400_SV1_diag_ptr1 | 837P SV107-1 | Professional diagnosis pointer 1; blank for other subtypes. |
| 2400_SV1_diag_ptr2 | 837P SV107-2 | Professional diagnosis pointer 2; blank for other subtypes. |
| 2400_SV1_diag_ptr3 | 837P SV107-3 | Professional diagnosis pointer 3; blank for other subtypes. |
| 2400_SV1_diag_ptr4 | 837P SV107-4 | Professional diagnosis pointer 4; blank for other subtypes. |
| 2400_SV2_rev_code | 837I SV201 | Institutional revenue code; blank for other subtypes. |
| 2400_SV2_proc_code | 837I SV202-2 | Institutional procedure code; component 1 is accepted as a compatibility fallback when the qualifier is omitted. Blank for other subtypes. |
| 2400_SV2_charge | 837I SV203 | Institutional line billed amount; blank for other subtypes. |
| 2400_SV2_units | 837I SV205 | Institutional line units; blank for other subtypes. |
| 2400_SV3_proc_code | 837D SV301-2 | Dental procedure code; component 1 is accepted as a compatibility fallback when the qualifier is omitted. Blank for other subtypes. |
| 2400_SV3_tooth | 837D TOO02 following SV3 | Dental tooth identifiers in source order, joined with ' | ' when repeated. Blank for other subtypes. |
| 2400_SV3_surface | 837D TOO03 following SV3 | Dental tooth-surface values in source order, joined with ' | ' when repeated. Blank for other subtypes. |
| 2400_SV3_charge | 837D SV302 | Dental line billed amount; blank for other subtypes. |
| 2400_SV3_units | 837D SV306 | Dental line quantity; blank for other subtypes. |
| 2400_DTP_472_from | 2400 DTP*472, DTP03 D8 or RD8 start | Actual-service date or range start; blank when DTP*472 is absent. |
| 2400_DTP_472_to | 2400 DTP*472, DTP03 RD8 end (D8 repeats) | Actual-service range end; a D8 date is repeated; blank when DTP*472 is absent. |
| 2400_REF_1_qual | 2400 REF01, source occurrence 1 | Service-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_1_value | 2400 REF02, source occurrence 1 | Service-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_2_qual | 2400 REF01, source occurrence 2 | Service-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_2_value | 2400 REF02, source occurrence 2 | Service-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_3_qual | 2400 REF01, source occurrence 3 | Service-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_3_value | 2400 REF02, source occurrence 3 | Service-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_4_qual | 2400 REF01, source occurrence 4 | Service-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_4_value | 2400 REF02, source occurrence 4 | Service-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_5_qual | 2400 REF01, source occurrence 5 | Service-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_5_value | 2400 REF02, source occurrence 5 | Service-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_6_qual | 2400 REF01, source occurrence 6 | Service-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_6_value | 2400 REF02, source occurrence 6 | Service-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_7_qual | 2400 REF01, source occurrence 7 | Service-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_7_value | 2400 REF02, source occurrence 7 | Service-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_8_qual | 2400 REF01, source occurrence 8 | Service-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_8_value | 2400 REF02, source occurrence 8 | Service-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_9_qual | 2400 REF01, source occurrence 9 | Service-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_9_value | 2400 REF02, source occurrence 9 | Service-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_10_qual | 2400 REF01, source occurrence 10 | Service-level REF qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_REF_10_value | 2400 REF02, source occurrence 10 | Service-level REF value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_1_qual | 2400 AMT01, source occurrence 1 | Service-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_1_amount | 2400 AMT02, source occurrence 1 | Service-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_2_qual | 2400 AMT01, source occurrence 2 | Service-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_2_amount | 2400 AMT02, source occurrence 2 | Service-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_3_qual | 2400 AMT01, source occurrence 3 | Service-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_3_amount | 2400 AMT02, source occurrence 3 | Service-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_4_qual | 2400 AMT01, source occurrence 4 | Service-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_4_amount | 2400 AMT02, source occurrence 4 | Service-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_5_qual | 2400 AMT01, source occurrence 5 | Service-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_5_amount | 2400 AMT02, source occurrence 5 | Service-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_6_qual | 2400 AMT01, source occurrence 6 | Service-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_6_amount | 2400 AMT02, source occurrence 6 | Service-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_7_qual | 2400 AMT01, source occurrence 7 | Service-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_7_amount | 2400 AMT02, source occurrence 7 | Service-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_8_qual | 2400 AMT01, source occurrence 8 | Service-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_8_amount | 2400 AMT02, source occurrence 8 | Service-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_9_qual | 2400 AMT01, source occurrence 9 | Service-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_9_amount | 2400 AMT02, source occurrence 9 | Service-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_10_qual | 2400 AMT01, source occurrence 10 | Service-level AMT qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_AMT_10_amount | 2400 AMT02, source occurrence 10 | Service-level AMT amount; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_1_qual | 2400 QTY01, source occurrence 1 | Service-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_1_value | 2400 QTY02, source occurrence 1 | Service-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_2_qual | 2400 QTY01, source occurrence 2 | Service-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_2_value | 2400 QTY02, source occurrence 2 | Service-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_3_qual | 2400 QTY01, source occurrence 3 | Service-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_3_value | 2400 QTY02, source occurrence 3 | Service-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_4_qual | 2400 QTY01, source occurrence 4 | Service-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_4_value | 2400 QTY02, source occurrence 4 | Service-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_5_qual | 2400 QTY01, source occurrence 5 | Service-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_5_value | 2400 QTY02, source occurrence 5 | Service-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_6_qual | 2400 QTY01, source occurrence 6 | Service-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_6_value | 2400 QTY02, source occurrence 6 | Service-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_7_qual | 2400 QTY01, source occurrence 7 | Service-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_7_value | 2400 QTY02, source occurrence 7 | Service-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_8_qual | 2400 QTY01, source occurrence 8 | Service-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_8_value | 2400 QTY02, source occurrence 8 | Service-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_9_qual | 2400 QTY01, source occurrence 9 | Service-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_9_value | 2400 QTY02, source occurrence 9 | Service-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_10_qual | 2400 QTY01, source occurrence 10 | Service-level QTY qual; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_QTY_10_value | 2400 QTY02, source occurrence 10 | Service-level QTY value; Smart Mapping exposes the first 10 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_NTE_1_qual | 2400 NTE01, source occurrence 1 | Service-level NTE qual; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_NTE_1_text | 2400 NTE02, source occurrence 1 | Service-level NTE text; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_NTE_2_qual | 2400 NTE01, source occurrence 2 | Service-level NTE qual; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_NTE_2_text | 2400 NTE02, source occurrence 2 | Service-level NTE text; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_NTE_3_qual | 2400 NTE01, source occurrence 3 | Service-level NTE qual; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_NTE_3_text | 2400 NTE02, source occurrence 3 | Service-level NTE text; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_NTE_4_qual | 2400 NTE01, source occurrence 4 | Service-level NTE qual; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_NTE_4_text | 2400 NTE02, source occurrence 4 | Service-level NTE text; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_NTE_5_qual | 2400 NTE01, source occurrence 5 | Service-level NTE qual; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2400_NTE_5_text | 2400 NTE02, source occurrence 5 | Service-level NTE text; Smart Mapping exposes the first 5 source occurrences in order. Additional occurrences remain available only in Raw output. |
| 2420_rendering_id | 2420 supported rendering loop (P/I/D: NM1*82), NM109 when NM108=XX | Qualified NPI for the rendering; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_rendering_name | 2420 supported rendering loop (P/I/D: NM1*82), NM103-NM105 | Rendering name. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_rendering_taxonomy | 2420 supported rendering loop (P/I/D: NM1*82), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Rendering taxonomy. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_rendering_address1 | 2420 supported rendering loop (P/I/D: NM1*82), N301 | Rendering address line 1. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_rendering_address2 | 2420 supported rendering loop (P/I/D: NM1*82), N302 | Rendering address line 2. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_rendering_city | 2420 supported rendering loop (P/I/D: NM1*82), N401 | Rendering city. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_rendering_state | 2420 supported rendering loop (P/I/D: NM1*82), N402 | Rendering state/province code. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_rendering_zip | 2420 supported rendering loop (P/I/D: NM1*82), N403 | Rendering postal code. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_ordering_id | 2420 supported ordering loop (P: NM1*DK), NM109 when NM108=XX | Qualified NPI for the ordering; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_ordering_name | 2420 supported ordering loop (P: NM1*DK), NM103-NM105 | Ordering name. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_ordering_taxonomy | 2420 supported ordering loop (P: NM1*DK), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Ordering taxonomy. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_ordering_address1 | 2420 supported ordering loop (P: NM1*DK), N301 | Ordering address line 1. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_ordering_address2 | 2420 supported ordering loop (P: NM1*DK), N302 | Ordering address line 2. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_ordering_city | 2420 supported ordering loop (P: NM1*DK), N401 | Ordering city. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_ordering_state | 2420 supported ordering loop (P: NM1*DK), N402 | Ordering state/province code. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_ordering_zip | 2420 supported ordering loop (P: NM1*DK), N403 | Ordering postal code. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_referring_id | 2420 supported referring loop (P/I/D: NM1*DN), NM109 when NM108=XX | Qualified NPI for the referring; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_referring_name | 2420 supported referring loop (P/I/D: NM1*DN), NM103-NM105 | Referring name. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_referring_taxonomy | 2420 supported referring loop (P/I/D: NM1*DN), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Referring taxonomy. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_referring_address1 | 2420 supported referring loop (P/I/D: NM1*DN), N301 | Referring address line 1. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_referring_address2 | 2420 supported referring loop (P/I/D: NM1*DN), N302 | Referring address line 2. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_referring_city | 2420 supported referring loop (P/I/D: NM1*DN), N401 | Referring city. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_referring_state | 2420 supported referring loop (P/I/D: NM1*DN), N402 | Referring state/province code. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_referring_zip | 2420 supported referring loop (P/I/D: NM1*DN), N403 | Referring postal code. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_supervising_id | 2420 supported supervising loop (P: NM1*DQ), NM109 when NM108=XX | Qualified NPI for the supervising; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_supervising_name | 2420 supported supervising loop (P: NM1*DQ), NM103-NM105 | Supervising name. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_supervising_taxonomy | 2420 supported supervising loop (P: NM1*DQ), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Supervising taxonomy. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_supervising_address1 | 2420 supported supervising loop (P: NM1*DQ), N301 | Supervising address line 1. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_supervising_address2 | 2420 supported supervising loop (P: NM1*DQ), N302 | Supervising address line 2. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_supervising_city | 2420 supported supervising loop (P: NM1*DQ), N401 | Supervising city. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_supervising_state | 2420 supported supervising loop (P: NM1*DQ), N402 | Supervising state/province code. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_supervising_zip | 2420 supported supervising loop (P: NM1*DQ), N403 | Supervising postal code. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_service_facility_id | 2420 supported service facility loop (P: NM1*77), NM109 when NM108=XX | Qualified NPI for the service facility; secondary REF identifiers are not promoted to NPI. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_service_facility_name | 2420 supported service facility loop (P: NM1*77), NM103-NM105 | Service Facility name. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_service_facility_taxonomy | 2420 supported service facility loop (P: NM1*77), PRV03 when PRV02=PXC; subordinate REF*PXC fallback | Service Facility taxonomy. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_service_facility_address1 | 2420 supported service facility loop (P: NM1*77), N301 | Service Facility address line 1. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_service_facility_address2 | 2420 supported service facility loop (P: NM1*77), N302 | Service Facility address line 2. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_service_facility_city | 2420 supported service facility loop (P: NM1*77), N401 | Service Facility city. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_service_facility_state | 2420 supported service facility loop (P: NM1*77), N402 | Service Facility state/province code. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2420_service_facility_zip | 2420 supported service facility loop (P: NM1*77), N403 | Service Facility postal code. Mapped only for the listed subtype/role combinations at service scope; blank otherwise. |
| 2430_SVD_1_payer_id | 2430 SVD01, SVD occurrence 1 | Other Payer Identifier for adjudication set 1 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_1_paid_amount | 2430 SVD02, SVD occurrence 1 | Signed Service-Line Paid Amount for adjudication set 1 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_1_line_proc_code | 2430 SVD03-2, SVD occurrence 1 | Adjudicated Procedure Code for adjudication set 1 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_1_rev_code | 2430 SVD04, SVD occurrence 1 | Adjudicated Revenue Code for adjudication set 1 of 5; mapped for 837I only. Additional SVD sets are not projected into Smart Mapping. |
| 2430_DTP_1_adjudication_date | 2430 DTP*573 DTP03 (D8), SVD occurrence 1 | Adjudication date for SVD set 1 of 5; RD8 and unrelated DTP qualifiers do not populate this column. |
| 2430_CAS_1_adj1_group | 2430 CAS01, SVD set 1 | CAS group for adjustment pair 1 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj1_reason | 2430 CAS02, SVD set 1 | CAS reason for adjustment pair 1 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj1_amount | 2430 CAS03, SVD set 1 | CAS amount for adjustment pair 1 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj2_group | 2430 CAS01, SVD set 1 | CAS group for adjustment pair 2 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj2_reason | 2430 CAS05, SVD set 1 | CAS reason for adjustment pair 2 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj2_amount | 2430 CAS06, SVD set 1 | CAS amount for adjustment pair 2 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj3_group | 2430 CAS01, SVD set 1 | CAS group for adjustment pair 3 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj3_reason | 2430 CAS08, SVD set 1 | CAS reason for adjustment pair 3 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj3_amount | 2430 CAS09, SVD set 1 | CAS amount for adjustment pair 3 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj4_group | 2430 CAS01, SVD set 1 | CAS group for adjustment pair 4 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj4_reason | 2430 CAS11, SVD set 1 | CAS reason for adjustment pair 4 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj4_amount | 2430 CAS12, SVD set 1 | CAS amount for adjustment pair 4 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj5_group | 2430 CAS01, SVD set 1 | CAS group for adjustment pair 5 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj5_reason | 2430 CAS14, SVD set 1 | CAS reason for adjustment pair 5 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_1_adj5_amount | 2430 CAS15, SVD set 1 | CAS amount for adjustment pair 5 of 5 in SVD set 1. CAS quantities are not declared in the public All Fields schema. |
| 2430_SVD_2_payer_id | 2430 SVD01, SVD occurrence 2 | Other Payer Identifier for adjudication set 2 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_2_paid_amount | 2430 SVD02, SVD occurrence 2 | Signed Service-Line Paid Amount for adjudication set 2 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_2_line_proc_code | 2430 SVD03-2, SVD occurrence 2 | Adjudicated Procedure Code for adjudication set 2 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_2_rev_code | 2430 SVD04, SVD occurrence 2 | Adjudicated Revenue Code for adjudication set 2 of 5; mapped for 837I only. Additional SVD sets are not projected into Smart Mapping. |
| 2430_DTP_2_adjudication_date | 2430 DTP*573 DTP03 (D8), SVD occurrence 2 | Adjudication date for SVD set 2 of 5; RD8 and unrelated DTP qualifiers do not populate this column. |
| 2430_CAS_2_adj1_group | 2430 CAS01, SVD set 2 | CAS group for adjustment pair 1 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj1_reason | 2430 CAS02, SVD set 2 | CAS reason for adjustment pair 1 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj1_amount | 2430 CAS03, SVD set 2 | CAS amount for adjustment pair 1 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj2_group | 2430 CAS01, SVD set 2 | CAS group for adjustment pair 2 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj2_reason | 2430 CAS05, SVD set 2 | CAS reason for adjustment pair 2 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj2_amount | 2430 CAS06, SVD set 2 | CAS amount for adjustment pair 2 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj3_group | 2430 CAS01, SVD set 2 | CAS group for adjustment pair 3 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj3_reason | 2430 CAS08, SVD set 2 | CAS reason for adjustment pair 3 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj3_amount | 2430 CAS09, SVD set 2 | CAS amount for adjustment pair 3 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj4_group | 2430 CAS01, SVD set 2 | CAS group for adjustment pair 4 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj4_reason | 2430 CAS11, SVD set 2 | CAS reason for adjustment pair 4 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj4_amount | 2430 CAS12, SVD set 2 | CAS amount for adjustment pair 4 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj5_group | 2430 CAS01, SVD set 2 | CAS group for adjustment pair 5 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj5_reason | 2430 CAS14, SVD set 2 | CAS reason for adjustment pair 5 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_2_adj5_amount | 2430 CAS15, SVD set 2 | CAS amount for adjustment pair 5 of 5 in SVD set 2. CAS quantities are not declared in the public All Fields schema. |
| 2430_SVD_3_payer_id | 2430 SVD01, SVD occurrence 3 | Other Payer Identifier for adjudication set 3 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_3_paid_amount | 2430 SVD02, SVD occurrence 3 | Signed Service-Line Paid Amount for adjudication set 3 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_3_line_proc_code | 2430 SVD03-2, SVD occurrence 3 | Adjudicated Procedure Code for adjudication set 3 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_3_rev_code | 2430 SVD04, SVD occurrence 3 | Adjudicated Revenue Code for adjudication set 3 of 5; mapped for 837I only. Additional SVD sets are not projected into Smart Mapping. |
| 2430_DTP_3_adjudication_date | 2430 DTP*573 DTP03 (D8), SVD occurrence 3 | Adjudication date for SVD set 3 of 5; RD8 and unrelated DTP qualifiers do not populate this column. |
| 2430_CAS_3_adj1_group | 2430 CAS01, SVD set 3 | CAS group for adjustment pair 1 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj1_reason | 2430 CAS02, SVD set 3 | CAS reason for adjustment pair 1 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj1_amount | 2430 CAS03, SVD set 3 | CAS amount for adjustment pair 1 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj2_group | 2430 CAS01, SVD set 3 | CAS group for adjustment pair 2 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj2_reason | 2430 CAS05, SVD set 3 | CAS reason for adjustment pair 2 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj2_amount | 2430 CAS06, SVD set 3 | CAS amount for adjustment pair 2 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj3_group | 2430 CAS01, SVD set 3 | CAS group for adjustment pair 3 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj3_reason | 2430 CAS08, SVD set 3 | CAS reason for adjustment pair 3 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj3_amount | 2430 CAS09, SVD set 3 | CAS amount for adjustment pair 3 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj4_group | 2430 CAS01, SVD set 3 | CAS group for adjustment pair 4 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj4_reason | 2430 CAS11, SVD set 3 | CAS reason for adjustment pair 4 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj4_amount | 2430 CAS12, SVD set 3 | CAS amount for adjustment pair 4 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj5_group | 2430 CAS01, SVD set 3 | CAS group for adjustment pair 5 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj5_reason | 2430 CAS14, SVD set 3 | CAS reason for adjustment pair 5 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_3_adj5_amount | 2430 CAS15, SVD set 3 | CAS amount for adjustment pair 5 of 5 in SVD set 3. CAS quantities are not declared in the public All Fields schema. |
| 2430_SVD_4_payer_id | 2430 SVD01, SVD occurrence 4 | Other Payer Identifier for adjudication set 4 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_4_paid_amount | 2430 SVD02, SVD occurrence 4 | Signed Service-Line Paid Amount for adjudication set 4 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_4_line_proc_code | 2430 SVD03-2, SVD occurrence 4 | Adjudicated Procedure Code for adjudication set 4 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_4_rev_code | 2430 SVD04, SVD occurrence 4 | Adjudicated Revenue Code for adjudication set 4 of 5; mapped for 837I only. Additional SVD sets are not projected into Smart Mapping. |
| 2430_DTP_4_adjudication_date | 2430 DTP*573 DTP03 (D8), SVD occurrence 4 | Adjudication date for SVD set 4 of 5; RD8 and unrelated DTP qualifiers do not populate this column. |
| 2430_CAS_4_adj1_group | 2430 CAS01, SVD set 4 | CAS group for adjustment pair 1 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj1_reason | 2430 CAS02, SVD set 4 | CAS reason for adjustment pair 1 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj1_amount | 2430 CAS03, SVD set 4 | CAS amount for adjustment pair 1 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj2_group | 2430 CAS01, SVD set 4 | CAS group for adjustment pair 2 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj2_reason | 2430 CAS05, SVD set 4 | CAS reason for adjustment pair 2 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj2_amount | 2430 CAS06, SVD set 4 | CAS amount for adjustment pair 2 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj3_group | 2430 CAS01, SVD set 4 | CAS group for adjustment pair 3 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj3_reason | 2430 CAS08, SVD set 4 | CAS reason for adjustment pair 3 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj3_amount | 2430 CAS09, SVD set 4 | CAS amount for adjustment pair 3 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj4_group | 2430 CAS01, SVD set 4 | CAS group for adjustment pair 4 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj4_reason | 2430 CAS11, SVD set 4 | CAS reason for adjustment pair 4 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj4_amount | 2430 CAS12, SVD set 4 | CAS amount for adjustment pair 4 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj5_group | 2430 CAS01, SVD set 4 | CAS group for adjustment pair 5 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj5_reason | 2430 CAS14, SVD set 4 | CAS reason for adjustment pair 5 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_4_adj5_amount | 2430 CAS15, SVD set 4 | CAS amount for adjustment pair 5 of 5 in SVD set 4. CAS quantities are not declared in the public All Fields schema. |
| 2430_SVD_5_payer_id | 2430 SVD01, SVD occurrence 5 | Other Payer Identifier for adjudication set 5 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_5_paid_amount | 2430 SVD02, SVD occurrence 5 | Signed Service-Line Paid Amount for adjudication set 5 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_5_line_proc_code | 2430 SVD03-2, SVD occurrence 5 | Adjudicated Procedure Code for adjudication set 5 of 5; mapped for all supported subtypes. Additional SVD sets are not projected into Smart Mapping. |
| 2430_SVD_5_rev_code | 2430 SVD04, SVD occurrence 5 | Adjudicated Revenue Code for adjudication set 5 of 5; mapped for 837I only. Additional SVD sets are not projected into Smart Mapping. |
| 2430_DTP_5_adjudication_date | 2430 DTP*573 DTP03 (D8), SVD occurrence 5 | Adjudication date for SVD set 5 of 5; RD8 and unrelated DTP qualifiers do not populate this column. |
| 2430_CAS_5_adj1_group | 2430 CAS01, SVD set 5 | CAS group for adjustment pair 1 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj1_reason | 2430 CAS02, SVD set 5 | CAS reason for adjustment pair 1 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj1_amount | 2430 CAS03, SVD set 5 | CAS amount for adjustment pair 1 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj2_group | 2430 CAS01, SVD set 5 | CAS group for adjustment pair 2 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj2_reason | 2430 CAS05, SVD set 5 | CAS reason for adjustment pair 2 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj2_amount | 2430 CAS06, SVD set 5 | CAS amount for adjustment pair 2 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj3_group | 2430 CAS01, SVD set 5 | CAS group for adjustment pair 3 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj3_reason | 2430 CAS08, SVD set 5 | CAS reason for adjustment pair 3 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj3_amount | 2430 CAS09, SVD set 5 | CAS amount for adjustment pair 3 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj4_group | 2430 CAS01, SVD set 5 | CAS group for adjustment pair 4 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj4_reason | 2430 CAS11, SVD set 5 | CAS reason for adjustment pair 4 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj4_amount | 2430 CAS12, SVD set 5 | CAS amount for adjustment pair 4 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj5_group | 2430 CAS01, SVD set 5 | CAS group for adjustment pair 5 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj5_reason | 2430 CAS14, SVD set 5 | CAS reason for adjustment pair 5 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
| 2430_CAS_5_adj5_amount | 2430 CAS15, SVD set 5 | CAS amount for adjustment pair 5 of 5 in SVD set 5. CAS quantities are not declared in the public All Fields schema. |
Notes
- Supported routing:
005010X222A1(837P),005010X223A2(837I), and005010X224A2(837D). Other ST03 values are labeled generic837and expose shared claim context without subtype service mapping. - Row and subtype model: one LINE row per mapped
SV1,SV2, orSV3, followed by its CLAIM row. Professional-only, institutional-only, and dental-only columns are intentionally blank outside their subtype. - Aggregation: claim, subscriber, payer, and provider context can repeat on LINE and CLAIM rows. Use Record Type and the Summary view when aggregating claim or service amounts.
- Bounded public projection: claim/service REF, AMT, and QTY expose 10 occurrences; NTE exposes 5; diagnoses expose 12; institutional procedures expose 6; COB exposes 3 other-payer loops; and service adjudication exposes 5 SVD sets with 5 CAS reason/amount pairs each. Later source occurrences remain available only in Raw output.
- Provider and patient scope: provider roles are limited to the subtype/loop combinations stated per column. Only
NM108=XXbecomes a provider NPI; secondary REF identifiers do not. Subscriber data is not substituted for an absent 2010CA patient loop. - Not currently mapped in Smart Mapping:
2410drug identification/pricing,PWK,CRC,CN1,K3, and CAS quantities. Use Raw output when those source elements must be retained. - Subtype component limits: 837I SV202 qualifier/modifiers and SV204 measurement; 837D SV301 qualifier, SV303-SV305, and SV307-SV311; and SVD qualifiers/modifiers are not currently mapped in Smart Mapping.
- Privacy: when de-identification is enabled, it protects mapped Key/All, editor, and download surfaces. Raw Mode intentionally retains the original EDI.
- This dictionary is exhaustive for the converter's current 530 declared All Fields columns, not for every element permitted by the X12 implementation guides.
Looking for the key fields layout? See the EDI 837 Key Fields data dictionary.