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Beneficiary Coinsurance Amount

CLM_BENE_PMT_COINSRNC_AMT

AN AMOUNT IDENTIFYING THE PORTION OF COST THAT IS THE RESPONSIBILITY OF A BENEFICIARY FOR PAYMENT.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication'
  ) and
    category.coding.where(
      code = 'CLM_BENE_PMT_COINSRNC_AMT'
    )
).amount.value
Coverage / Claim Type
  • Carrier
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM
Source Column
CLM_BENE_PMT_COINSRNC_AMT
Sources
  • MCS
Profiles
  • Regular
  • CMS

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