Claim Payment Denial Code

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_CARR_PMT_DNL_CD').exists()
).code.coding.code

Coverage / Claim Type

• Carrier
• DME

Source View

V2_MDCR_CLM_PRFNL

Source Column

CLM_CARR_PMT_DNL_CD

Reference Table

https://bluebutton.cms.gov/fhir/CodeSystem/CLM-CARR-PMT-DNL-CD

Sources

• NCH

Profiles

• CMS

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