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Total Charge Amount

CLM_SBMT_CHRG_AMT

AN AMOUNT TOTALING THE SUM OF ALL THE LINE ITEM SUBMITTED CHARGES ON A CLAIM.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.total.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication'
  ).exists() and
    category.coding.where(code = 'CLM_SBMT_CHRG_AMT').exists()
).amount.value
Coverage / Claim Type
  • Carrier
  • DME
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM
Source Column
CLM_SBMT_CHRG_AMT
Sources
  • FISS
  • MCS
  • NCH
  • VMS
Profiles
  • Regular
  • CMS

Example 

9001.55

Mappings

CCLF
  • CCLF1.CLM_MDCR_INSTNL_TOT_CHRG_AMT
CCW
  • NCH_CARR_CLM_SBMTD_CHRG_AMT
  • CLM_TOT_CHRG_AMT

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