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Coinsurance Amount

CLM_LINE_MDCR_COINSRNC_AMT

EFFECTIVE WITH NCH VERSION H, THE BENEFICIARY COINSURANCE LIABILITY AMOUNT FOR THIS LINE ITEM SERVICE ON THE NONINSTITUTIONAL CLAIM. NOTE: BEGINNING WITH NCH WEEKLY PROCESS DATE 10/3/97 THIS FIELD WAS POPULATED WITH DATA. CLAIMS PROCESSED PRIOR TO 10/3/97 WILL CONTAIN ZEROES IN THIS FIELD. [NCH]

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_MDCR_COINSRNC_AMT'
    )
).amount.value
Coverage / Claim Type
  • Carrier
  • DME
Source View
V2_MDCR_CLM_LINE
Source Column
CLM_LINE_MDCR_COINSRNC_AMT
Sources
  • MCS
  • NCH
  • VMS
Profiles
  • Regular
  • CMS

Example 

11111.1

Mappings

CCW
  • LINE_COINSRNC_AMT

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