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Variable: CLM_PMT_80_100_CD

Line Payment 80%/100% Code

Description:

The code indicating that the amount shown in the payment field on the non-institutional line item represents either 80% or 100% of the allowed charges less any deductible, or 100% limitation of liability only.

Values

This variable is coded, and will contain one of the following values.

Value Description
0 80%
1 100%
3 100% Limitation of liability only
4 75% reimbursement
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