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Claim Line Benefit Enhancement 2 Code

CLM_LINE_BNFT_ENHNCMT_2_CD

A code identifying the second applicable Accountable Care Organization (ACO) Benefit Enhancement Indicator (BEI) that applied to the claim line. Reference table: CLM_BNFT_ENHNCMT_CD

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_BNFT_ENHNCMT_CD').exists()
).value
Coverage / Claim Type
  • Carrier
Source View
V2_MDCR_CLM_LINE_DCMTN
Source Column
CLM_LINE_BNFT_ENHNCMT_2_CD
Sources
  • MCS
  • 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. The infoSequence element on the ExplanationOfBenefit.item can be used to determine which are relevant to a given claim line.

Mappings

CCLF
  • CCLFB.CLM_DEMO_2ND_NUM

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