X12-837-CLM

X12 837 CLM is the CLM segment in X12 837 (Health Care Claim) Transaction Set that identifies the claim number and its total amount.

Definition

CLM is the first segment of each loop 2300 in a HIPAA 837. It carries the claim number, total billed amount, place-of-service qualifier and a provider-accept-assignment indicator.

Origin

Present since 837 version 004010 (1996). The current HIPAA 5010 production version is defined in TR3 ASC X12N 005010X222 (Professional) and X223 (Institutional).

Use

For a USD 150.00 consultation: CLM*HHL-2026-0042*150.00***11:B:1*Y*A*Y*Y. Place of service 11 (Office) and the claim appears in loop 2300 of the 837 emitted by a medical office.

Related terms

• X12 — the parent standard.
• HIPAA — regulation.
• HIPAA X12N — HIPAA bundle.
• TR3 — implementation guide.