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Blended Payment Amount

CLM_HIPPS_MODEL_BNDLD_PMT_AMT

For hospitals participating in BPCI Model 1, this field represents the amount the claim was reduced by.

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_HIPPS_MODEL_BNDLD_PYMT_AMT'
    )
).amount.value
Coverage / Claim Type
  • Inpatient
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_HIPPS_MODEL_BNDLD_PMT_AMT
Sources
  • FISS
  • NCH
Profiles
  • CMS

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