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Remaining Amount to Provider

CLM_PRVDR_RMNG_DUE_AMT

AN AMOUNT IDENTIFYING HOW MUCH PAYMENT IS STILL OWED TO A PROVIDER MINUS PRIOR PAYMENTS, OFFSETS, OR ADJUSTMENTS ON A CLAIM.

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_PRVDR_RMNG_DUE_AMT'
    )
).amount.value
Coverage / Claim Type
  • DME
  • HHA
  • Outpatient
Source View
V2_MDCR_CLM
Source Column
CLM_PRVDR_RMNG_DUE_AMT
Sources
  • FISS
  • VMS
Profiles
  • CMS

Example 

11.18

bluebutton.cms.gov

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

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