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Data Element
CRX039
CRX.002.039
Definition | The total amount billed for this claim at the claim header level as submitted by the provider. For encounter records, when Type of Claim value is [ 3, C, or W ], then value must equal amount the provider billed to the managed care plan. Total Billed Amount is not expected on financial transactions. For sub-capitated encounters from a sub-capitated entity that is not a sub-capitated network provider, report the total amount that the provider billed the sub-capitated entity for the service. Report a null value in this field if the provider is a sub-capitated network provider. For sub-capitated encounters from a sub-capitated network provider, if the sub-capitated network provider directly employs the provider that renders the service to the enrollee, report a null value in this field. |
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Size | S9(11)V99 |
FLF Start Position | 228 |
FLF Stop Position | 240 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be between -99999999999.99 and 99999999999.99 |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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CIP112 | CIP.002.112 | TOT-BILLED-AMT | CIP00002 | CLAIM-HEADER-RECORD-IP |
CLT063 | CLT.002.063 | TOT-BILLED-AMT | CLT00002 | CLAIM-HEADER-RECORD-LT |
COT048 | COT.002.048 | TOT-BILLED-AMT | COT00002 | CLAIM-HEADER-RECORD-OT |