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Noncovered Paid Amount

CLM_LINE_NCVRD_PD_AMT

THE NET AMOUNT PAID BY A PLAN FOR A NONCOVERED PRODUCT OR SERVICE, SUCH AS A NONCOVERED DRUG FOR PART D.

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_NCVRD_PD_AMT')
).amount.value
Coverage / Claim Type
  • Pharmacy
Source View
V2_MDCR_CLM_LINE
Source Column
CLM_LINE_NCVRD_PD_AMT
Sources
  • DDPS
Profiles
  • CMS

Example 

10.08

Mappings

CCW
  • NCVRD_PLAN_PD_AMT

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