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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 = 'http://terminology.hl7.org/CodeSystem/adjudication' and
      code = 'benefit'
  ).exists()
).amount.value
Coverage / Claim Type
  • Pharmacy
Source View
V2_MDCR_CLM_LINE
Source Column
CLM_LINE_CVRD_PD_AMT
Sources
  • DDPS
Profiles
  • Regular
  • CMS

Example 

45.5

Mappings

CCW
  • CVRD_D_PLAN_PD_AMT

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