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changes.mady.by.user Kathleen Hart

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changes.mady.by.user Tim Holder

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Page Properties


Data Element

Original Claim Number

Description

Original Claim NumberThe original claim number. Report the Claim Control Number (PC004) that was originally sent in during a prior filing to which this line corresponds. When reported, this data cannot equal its own PC004.

TypeText
Formatvarchar
Length35
Threshold10% if PC005A > 1
RequiredRequired
Tip / Notes
Rank087


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