Background:
This document describes the development and content of the four claims files that contain service use and payment records: (1) the IP file includes institutional inpatient services and payments, (2) the LT file includes institutional long-term care services and payments, (3) the OT file includes all other medical services and payments, and (4) the RX file includes prescription drug fills and pharmacy payments.
Document Version:
June 2022
Source:
CMS
Format:
Adobe PDF