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Second Year Rate Amount

CLM_MDCR_IP_SCND_YR_RATE_AMT

Effective with NCH version H, the charge for each day of coinsurance during the second year in a bill which spans two years (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 field. Exception: During the NCH version H conversion invalid data may have been populated for prior periods. Disregard any data 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_SCND_YR_RATE_AMT'
    )
).amount.value
Coverage / Claim Type
  • Inpatient
  • SNF
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_MDCR_IP_SCND_YR_RATE_AMT
Sources
  • NCH
Profiles
  • CMS

Example

10.07

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