Claim Benefit Enhancement Code 3
CLM_BNFT_ENHNCMT_3_CDA 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() andcategory.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