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Submitted Charge Amount

CLM_LINE_SBMT_CHRG_AMT

The amount of submitted charges for the line item service on the noninstitutional claim. [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_SBMT_CHRG_AMT'
    )
).amount.value
Coverage / Claim Type
  • Carrier
  • DME
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_LINE
Source Column
CLM_LINE_SBMT_CHRG_AMT
Sources
  • FISS
  • MCS
  • NCH
  • VMS
Profiles
  • Regular
  • CMS

Example

50.11

Mappings

CCW
  • LINE_SBMTD_CHRG_AMT
  • REV_CNTR_TOT_CHRG_AMT

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