DC704
Owned by Kathleen Hart (Unlicensed)
Aug 02 2019
1 min readLoading 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 |