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Submitter PBP Number

CLM_SBMTR_CNTRCT_PBP_NUM

The Plan Benefit Package (PBP) number of the plan that submitted the claim.

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_SBMTR_CNTRCT_PBP_NUM'
    ).exists()
).value
Coverage / Claim Type
  • Pharmacy
Source View
V2_MDCR_CLM
Source Column
CLM_SBMTR_CNTRCT_PBP_NUM
Sources
  • DDPS
Profiles
  • Basis
  • Regular
  • CMS

Example 

001

Mappings

CCW
  • PLAN_PBP_REC_NUM

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