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Inpatient/Outpatient Total Deduction Amount

CLM_MDCR_DDCTBL_AMT

AN AMOUNT IDENTIFYING THE PORTION APPLIED TOWARD THE DEDUCTIBLE A BENEFICIARY IS RESPONSIBLE FOR.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.total.where(
  category.coding.where(
    system = 'http://terminology.hl7.org/CodeSystem/adjudication' and
      code = 'deductible'
  ).exists() and
    category.coding.where(
      system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and
        code = 'CLM_MDCR_DDCTBL_AMT'
    ).exists()
).amount.value
Coverage / Claim Type
  • Carrier
  • DME
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM
Source Column
CLM_MDCR_DDCTBL_AMT
Sources
  • FISS
  • MCS
  • NCH
  • VMS
Profiles
  • Regular
  • CMS

Example 

17.85

Mappings

CCLF
  • CCLFA.CLM_MDCR_DDCTBL_AMT
  • CCLFB.CLM_MDCR_DDCTBL_AMT
CCW
  • NCH_BENE_PTB_DDCTBL_AMT
  • NCH_IP_TOT_DDCTN_AMT
  • CARR_CLM_CASH_DDCTBL_APLD_AMT

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