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Add On Payment Amount

CLM_LINE_ADD_ON_PYMT_AMT

THE NEW PATIENT OR INITIAL MEDICARE VISIT ADD-ON PAYMENT AMOUNT OF THE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) CLAIM.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.item.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication'
  ) and
    category.coding.where(
      code = 'CLM_LINE_ADD_ON_PYMT_AMT'
    )
).amount.value
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_LINE_INSTNL
Source Column
CLM_LINE_ADD_ON_PYMT_AMT
Sources
  • FISS
  • NCH
Profiles
  • CMS

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