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Beneficiary Payment Amount

CLM_BENE_PMT_AMT

AN AMOUNT PAID BY A BENEFICIARY FOR SERVICES RENDERED 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_BENE_PMT_AMT').exists()
).amount.value
Coverage / Claim Type
  • Carrier
  • DME
Source View
V2_MDCR_CLM
Source Column
CLM_BENE_PMT_AMT
Sources
  • MCS
  • NCH
  • VMS
Profiles
  • Regular
  • CMS

Example 

19.94

bluebutton.cms.gov

official website of the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services.

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