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Primary Payer Paid Amount

CLM_MDCR_INSTNL_PRMRY_PYR_AMT

THE AMOUNT OF A PAYMENT MADE ON BEHALF OF A MEDICARE BENEFICIARY BY A PRIMARY PAYER OTHER THAN MEDICARE, THAT THE PROVIDER IS APPLYING TO COVERED MEDICARE CHARGES ON AN INSTITUTIONAL, CARRIER, OR DMERC CLAIM. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and
      code = 'CLM_MDCR_INSTNL_PRMRY_PYR_AMT'
  ).exists()
).amount.value
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_MDCR_INSTNL_PRMRY_PYR_AMT
Sources
  • NCH
Profiles
  • CMS

Example 

50.5

Mappings

CCW
  • NCH_PRMRY_PYR_CLM_PD_AMT

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