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Revenue Center Obligation to Accept As Full Payment Code

CLM_OTAF_ONE_IND_CD

EFFECTIVE WITH VERSION I, INDICATION THAT THE PROVIDER WAS OBLIGATED TO ACCEPT AS FULL PAYMENT THE AMOUNT RECEIVED FROM THE PRIMARY (OR SECONDARY) PAYER.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.item.extension.where(
  url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-OTAF-ONE-IND-CD'
).value.code
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_LINE_INSTNL
Source Column
CLM_OTAF_ONE_IND_CD
Reference Table
https://bluebutton.cms.gov/fhir/CodeSystem/CLM-OTAF-IND-CD
Sources
  • NCH
Profiles
  • CMS

Example 

Y

Mappings

CCW
  • REV_CNTR_OTAF_PMT_CD

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