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Variable: PRPAYAMT

NCH Primary Payer (if not Medicare) Claim Paid Amount

Description

The amount of a payment made on behalf of a Medicare beneficiary by a primary payer other than Medicare, that the provider is applying to covered Medicare charges on a non-institutional claim.

Comment

Derivation Rules: It is calculated as the sum of the line-level primary payer amounts.

Other Info

Some additional information on this variable: