PC704
Owned by Kathleen Hart (Unlicensed)
| Data Element | Original Claim Number |
|---|---|
| Description | The original claim number. Report the Claim Control Number (PC004) that was originally sent during a prior filing to which this line corresponds. When reported, this data cannot equal its own PC004. |
| Type | Text |
| Format | varchar |
| Length | 35 |
| Threshold | 10% if PC005A > 1 |
| Required | Required |
| Tip / Notes | |
| Rank | 087 |