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Maryland Medicaid Companion Guide 837 Institutional Encounter DEPARTMENT OF HEALTH & MENTAL HYGIENE MEDICAL CARE PROGRAM
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Document Date: 2013-03-01 18:06:28

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File Size: 84,90 KB

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City

Recipient / /

Company

C.7 GS02 Functional Group / Implementation Trading Partners / Transmission Considerations Trading Partners / Trading Partners / /

Facility

Qualifier C.4 ISA05 Interchange / C.5 C.5 ISA07 ISA08 Interchange / /

IndustryTerm

health care services / institutional services / /

Organization

DEPARTMENT OF HEALTH / United Nations / /

Person

Interchange Receiver / /

Position

Transmission Intermediaries Reference Identification qualifier / Identifier Billing Provider Name Identification Code Qualifier / ISA03 Authorization Information Qualifier / Drug Quantity Date Time Qualifier / Drug Identification Product/Service ID Qualifier National Drug Code Drug Quantity Quantity N4 Page / Identification qualifier / REF01 Reference Identification qualifier / Subscriber Name Identification Code Qualifier / ID Qualifier / NM103 NM108 NM109 Payer Name Payer Name Payer Qualifier / Code qualifier / /

ProgrammingLanguage

ML / /

PublishedMedium

the DHMH Companion Guide / /

Technology

alpha / ASCII / /

URL

http /

SocialTag