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FI Claim Action Code

CLM_FI_ACTN_CD

THE TYPE OF ACTION REQUESTED BY THE INTERMEDIARY TO BE TAKEN ON AN INSTITUTIONAL 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_FI_ACTN_CD').exists()
).code.coding.code
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_FI_ACTN_CD
Reference Table
https://bluebutton.cms.gov/fhir/CodeSystem/CLM-FI-ACTN-CD
Sources
  • FISS
  • NCH
Profiles
  • CMS

Example 

1

Mappings

CCW
  • FI_CLM_ACTN_CD

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