MIA Medicare Inpatient Adjudication

Batch

To provide claim-level data related to the adjudication of Medicare inpatient claims

Elements

Position	Element	Name		Type	Min/Max	Repeat

1	380	Quantity	Mandatory	Decimal	1/15	1
2	380	Quantity	Opt	Decimal	1/15	1
3	380	Quantity	Opt	Decimal	1/15	1
4	782	Monetary Amount	Opt	Decimal	1/18	1
5	127	Reference Identification	Opt	Alphanumeric	1/30	1
6	782	Monetary Amount	Opt	Decimal	1/18	1
7	782	Monetary Amount	Opt	Decimal	1/18	1
8	782	Monetary Amount	Opt	Decimal	1/18	1
9	782	Monetary Amount	Opt	Decimal	1/18	1
10	782	Monetary Amount	Opt	Decimal	1/18	1
11	782	Monetary Amount	Opt	Decimal	1/18	1
12	782	Monetary Amount	Opt	Decimal	1/18	1
13	782	Monetary Amount	Opt	Decimal	1/18	1
14	782	Monetary Amount	Opt	Decimal	1/18	1
15	380	Quantity	Opt	Decimal	1/15	1
16	782	Monetary Amount	Opt	Decimal	1/18	1
17	782	Monetary Amount	Opt	Decimal	1/18	1
18	782	Monetary Amount	Opt	Decimal	1/18	1
19	782	Monetary Amount	Opt	Decimal	1/18	1
20	127	Reference Identification	Opt	Alphanumeric	1/30	1
21	127	Reference Identification	Opt	Alphanumeric	1/30	1
22	127	Reference Identification	Opt	Alphanumeric	1/30	1
23	127	Reference Identification	Opt	Alphanumeric	1/30	1
24	782	Monetary Amount	Opt	Decimal	1/18	1

ID380

NameQuantity

LengthMin 1 / Max 15

Position1

RequirementMandatory