| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | name(+) | 0;1 | FREE TEXT | B | Name of the Statistical group. | |
| 2 | date/time cleared | 0;2 | DATE-TIME | Date and time that the claim cleared the queue. | ||
| 101 | submissions - total | S;1 | NUMERIC | Total number of submissions to ECME. | ||
| 102 | submissions - unique | S;2 | NUMERIC | Total number of unique claim submissions to ECME. | ||
| 103 | submissions - repeat | S;3 | NUMERIC | Total number of repeat claim submissions to ECME. | ||
| 200 | result - count | COMPUTED | Total number of claims for which a response was received. | |||
| 201 | result - unbillable | R;1 | NUMERIC | Total number of claims that were unbillable. | ||
| 202 | result - rejected | R;2 | NUMERIC | Total number of claims that were rejected by the payer. | ||
| 203 | result - paid | R;3 | NUMERIC | Total number of claims that were paid by the payer. | ||
| 204 | result - duplicate | R;4 | NUMERIC | Total number of claims for which a duplicate result was received. | ||
| 205 | result - captured | R;5 | NUMERIC | Total number of claims that was captured by the payer but has not been adjudicated by the payer yet. | ||
| 206 | result - accepted reversal | R;6 | NUMERIC | This field holds the number of reversals that are accepted | ||
| 207 | result - rejected reversal | R;7 | NUMERIC | This field holds the number of rejected reversals | ||
| 208 | result - dropped to paper | R;8 | NUMERIC | This field stores the number of claims that were dropped to paper | ||
| 209 | result - eligibility accepted | R;9 | NUMERIC | This field stores the number of eligibility verification requests that were accepted by the third-party payer. | ||
| 210 | result - eligibility rejected | R;10 | NUMERIC | This field stores the number of eligibility verification requests that were rejected by the third-party payer. | ||
| 219 | result - other | R;19 | NUMERIC | Total number of claims that did not fall into the other categories. |
Not Referenced