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Allowed Charge Amount

CLM_ALOWD_CHRG_AMT

AN AMOUNT IDENTIFYING THE SUM OF ALL THE LINE ITEM ALLOWED CHARGES ON A CLAIM.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.total.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication'
  ).exists() and
    category.coding.where(code = 'CLM_ALOWD_CHRG_AMT').exists()
).amount.value
Coverage / Claim Type
  • Carrier
  • DME
Source View
V2_MDCR_CLM
Source Column
CLM_ALOWD_CHRG_AMT
Sources
  • MCS
  • NCH
  • VMS
Profiles
  • Regular
  • CMS

Example 

10.22

Mappings

CCW
  • NCH_CARR_CLM_ALOWD_AMT

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