DC704
- Kathleen Hart (Unlicensed)
Owned by Kathleen Hart (Unlicensed)
Aug 02 2019
1 min read
Loading data...
Data Element | Original Claim Number |
---|---|
Description | Original Claim Number. Report the Claim Control Number (DC004) that was originally sent in a prior filing to which this line corresponds. When reported, this data cannot equal its own DC004. |
Type | Text |
Format | varchar |
Length | 35 |
Threshold | 10% if DC005A > 1 |
Required | Required |
Tip / Notes | |
Rank | 065 |