Claim Paid Status Code

Field Metadata

FHIR Resource

ExplanationOfBenefit

FHIRPath

ExplanationOfBenefit.supportingInfo.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information'
  ).exists() and
    category.coding.where(code = 'CLM_PD_STUS_CD').exists()
).code.coding.code

Coverage / Claim Type

• Carrier
• DME
• HHA
• Hospice
• Inpatient
• Outpatient
• SNF

Source View

V2_MDCR_CLM

Source Column

CLM_PD_STUS_CD

Sources

• FISS
• MCS
• VMS

Profiles

• Basis
• Regular
• CMS

Notes

Used to populate ExplanationOfBenefit.outcome