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Claim Uncompensated Care Payment Amount

CLM_HIPPS_UNCOMPD_CARE_AMT

THIS IS A PAYMENT FOR DSH HOSPITALS AS PART OF SECTION 3133 OF ACA. IT REPRESENTS THE UNCOMPENSATED CARE AMOUNT OF THE PAYMENT.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and
      code = 'CLM_HIPPS_UNCOMPD_CARE_AMT'
  ).exists()
).amount.value
Coverage / Claim Type
  • Inpatient
  • SNF
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_HIPPS_UNCOMPD_CARE_AMT
Sources
  • FISS
  • NCH
Profiles
  • CMS

Example 

15

Mappings

CCLF
  • CCLF1.CLM_HIPPS_UNCOMPD_CARE_AMT
CCW
  • CLM_UNCOMPD_CARE_PMT_AMT

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