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First Year Rate Amount

CLM_MDCR_IP_1ST_YR_RATE_AMT

EFFECTIVE WITH NCH VERSION H, THE CHARGE FOR EACH DAY OF COINSURANCE DURING THE FIRST YEAR IN THE BILL (USED FOR INTERNAL CWFMQA EDITING PURPOSES). NOTE: BEGINNING WITH NCH WEEKLY PROCESS DATE 10/3/97 THIS FIELD WAS POPULATED WITH DATA. CLAIMS PROCESSED PRIOR TO 10/3/97 SHOULD CONTAIN ZEROES IN THIS NCH FIELD. EXCEPTION: DURING THE NCH VERSION H CONVERSION INVALID DATA MAY HAVE BEEN POPULATED FOR PRIOR PERIODS. DISREGARD ANY DATA PRESENT IN THIS FIELD ON CLAIMS WITH NCH WEEKLY PROCESS DATE EARLIER THAN 10/3/97. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication'
  ) and
    category.coding.where(
      code = 'CLM_MDCR_IP_1ST_YR_RATE_AMT'
    )
).amount.value
Coverage / Claim Type
  • Inpatient
  • SNF
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_MDCR_IP_1ST_YR_RATE_AMT
Sources
  • NCH
Profiles
  • CMS

Example 

10.06

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official website of the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services.

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