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ClpSegment

ClpSegment models the X12 CLP claim-level data segment, the header line for each individual claim within an 835 remittance advice transaction. It carries the claim submitter identifier, adjudication status, charged and paid amounts, and the payer/filing classification for the claim, with the optional patient-responsibility amount and claim-frequency type written only when actually populated (BR-059).

Purpose

  • Represents the CLP segment identity via SegmentId returning the literal "CLP" (BR-020).
  • Carries ClaimSubmitterId, ClaimStatusCode, ChargedAmount, and PaymentAmount — the core identity and adjudication result for a single claim.
  • Carries ClaimFilingCode, BillId, and FacilityCode describing the payer classification and facility context of the claim.
  • Writes PatientResponsibilityAmount (CLP05) only when it has a value, and FrequencyTypeCode (CLP09) only when it is non-empty (BR-059).

Context

  • Namespace: SAIF.Common.Files.Edi.Segments
  • Assembly/package: SAIF.Framework.Common.Files

Public members

Member Signature Purpose
SegmentId string SegmentId { get; } Returns the literal X12 segment identifier "CLP".
ClaimSubmitterId string ClaimSubmitterId { get; set; } The claim submitter's identifier for the claim (CLP01), element 1.
ClaimStatusCode string ClaimStatusCode { get; set; } The adjudication status code of the claim (CLP02), element 2.
ChargedAmount decimal ChargedAmount { get; set; } The total amount charged for the claim (CLP03), element 3.
PaymentAmount decimal PaymentAmount { get; set; } The total amount paid for the claim (CLP04), element 4.
PatientResponsibilityAmount decimal? PatientResponsibilityAmount { get; set; } The patient's financial responsibility amount for the claim (CLP05), element 5, written only when populated (BR-059).
ClaimFilingCode string ClaimFilingCode { get; set; } The claim filing indicator code identifying the payer type (CLP06), element 6.
BillId long BillId { get; set; } The payer's internal claim/bill identifier (CLP07), element 7.
FacilityCode string FacilityCode { get; set; } The facility type code for the claim (CLP08), element 8.
FrequencyTypeCode string FrequencyTypeCode { get; set; } The claim frequency type code (CLP09), element 9, written only when non-empty (BR-059).
Build IEdiSegment Build() Creates a SegmentBuilder("CLP"), adds elements 1-4, 6-8 unconditionally, adds PatientResponsibilityAmount at element 5 only if it has a value, and adds FrequencyTypeCode at element 9 only if non-empty, returning the built segment.
Fill void Fill(IEdiSegment segment) Reads elements 1-9 via GetChildValue, converting ChargedAmount, PaymentAmount, and PatientResponsibilityAmount to decimal and BillId to long.
Parse static ClpSegment Parse(IEdiSegment segment) Instantiates a new ClpSegment, calls Fill(segment) on it, and returns it.

Sources

  • Common\SAIF.Common.Files\Edi\Segments\ClpSegment.cs