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Claim Line Covered Paid Amount

CLM_LINE_CVRD_PD_AMT

AN AMOUNT IDENTIFYING THE MEDICARE PAYMENT FOR A LINE ITEM SERVICE.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.item.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication'
  ) and
    category.coding.where(code = 'CLM_LINE_CVRD_PD_AMT')
).amount.value
Coverage / Claim Type
  • Carrier
  • DME
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_LINE
Source Column
CLM_LINE_CVRD_PD_AMT
Sources
  • FISS
  • MCS
  • NCH
Profiles
  • Regular
  • CMS

Example 

11.14

Mappings

CCLF
  • CCLF2.CLM_LINE_CVRD_PD_AMT
  • CCLF5.CLM_LINE_CVRD_PD_AMT
  • CCLF6.CLM_LINE_CVRD_PD_AMT
CCW
  • LINE_NCH_PMT_AMT
  • REV_CNTR_PMT_AMT_AMT

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