Candidate Standard

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This section of the DDEX Knowledge Base contains Version 1.0 of Part 2 (Record Type Definitions) of the Claim Detail Message Suite Standard

 

 

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1 Introduction

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1 Introduction
1 Introduction

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Essential reading
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Download/Print standard (PDF)

This standard is Part 1 2 of a multi-part standard. The other parts (incl. samples) are available here.

Samples for the CDM Standard can be found here.

CDM is a "Candidate Standard", which is a formal standard approved by DDEX for which DDEX has not had any information about live implementations. Once DDEX has received such input, it is expected that CDM will be promoted to "DDEX Standard".

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2 Scope

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Name2.1 Introduction
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Name2.2 Organisation of the Standard

3 Normative References

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Name3 Normative References

4 Terms and Abbreviations

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Name4 Terms and Abbreviations

5 Record Type Definitions

5.1 Header and Footer Records

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Name5.1.1 CDMH — Header Record for Claim Detail Messages and Claim Detail Discrepancy Notifications
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Name5.1.2 SRFO – Footer Record for Claim Detail Messages and Claim Detail Discrepancy Notifications

5.2 Summary Record Types

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Name5.2.1 CS01 — Basic Summary Record for Post-Usage Claim Detail Messages
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Name5.2.2 CS02 — Basic Financial Record for Post Usage Claim Detail Messages
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Name5.2.3 CS03 — Basic Summary Record for Pre-Usage Claim Detail Messages
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Name5.2.4 CDS1 – Summary Record for Claim Detail Discrepancy Notifications

5.3 Detailed Record Types

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Name5.3.1 CD01 — Basic Claim Detail Record with Financial Information
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Name5.3.2 CD02 — Basic Record for Correcting Claim Detail Records with Financial Information
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Name5.3.3 CD03 — Basic Claim Detail Record without Financial Information
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Name5.3.4 CD04 — Basic Record for Correcting Claim Detail Records without Financial Information
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Name5.3.5 CX01 — Auxiliary Information
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Name5.3.6 CDD1 – Record for Claim Detail Record Discrepancies
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Name5.3.7 CDD2 – Record for Over-claim Discrepancies
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Name5.3.8 CDD3 – Licensor-specific Record for Over-claim Discrepancies

Evaluation Licence for DDEX Standards

 

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HBK:Evaluation Licence for DDEX Standards
HBK:Evaluation Licence for DDEX Standards
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