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Line Primary Payer Allowed Amount

CLM_MDCR_PRMRY_PYR_ALOWD_AMT

LINE PRIMARY PAYER ALLOWED CHARGE AMOUNT

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_MDCR_PRMRY_PYR_ALOWD_AMT'
    )
).amount.value
Coverage / Claim Type
  • Carrier
  • DME
Source View
V2_MDCR_CLM_LINE_PRFNL
Source Column
CLM_MDCR_PRMRY_PYR_ALOWD_AMT
Sources
  • MCS
  • NCH
  • VMS
Profiles
  • CMS

Example 

11.14

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