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Medicare Billing: CMS-1450 & 837I

Loop 2320 (Claim Level)/FL 54 A-C

situationally required icon

Required when the payer shown has paid an amount to the provider toward this bill.

Table 23: Loop 2320 (Claim Level)/FL 54 A-C Fields
Prior Payments for Primary, Secondary, and TertiarySource
Required when the payer listed has paid an amount to the provider toward this bill.Provider or Medicare records