Skip to main content

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Claim Benefit Enhancement Code 3

CLM_BNFT_ENHNCMT_3_CD

A CODE IDENTIFYING THE THIRD APPLICABLE ACCOUNTABLE CARE ORGANIZATION (ACO) BENEFIT ENHANCEMENT INDICATOR (BEI) THAT APPLIED TO THE CLAIM.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.supportingInfo.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information'
  ).exists() and
    category.coding.where(code = 'CLM_BNFT_ENHNCMT_CD').exists()
).value
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_DCMTN
Source Column
CLM_BNFT_ENHNCMT_3_CD
Sources
  • FISS
  • NCH
Profiles
  • CMS

Notes

There may be multiple. These are unordered, but there are a maximum of 5 per institutional claim header, and 5 per professional claim line.

Mappings

CCLF
  • CCLFA.CLM_DEMO_3RD_NUM

bluebutton.cms.gov

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

Looking for U.S. government information and services?
Visit USA.gov