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Data Element
CRX087
CRX.002.087
Definition | The amount the beneficiary or his or her representative (e.g., their guardian) paid towards their coinsurance for the covered services on the claim. Do not include coinsurance payments made by a third party/ies on behalf of the beneficiary. |
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Size | S9(11)V99 |
FLF Start Position | 631 |
FLF Stop Position | 643 |
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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CIP206 | CIP.002.206 | TOT-BENEFICIARY-COINSURANCE-PAID-AMOUNT | CIP00002 | CLAIM-HEADER-RECORD-IP |
CLT153 | CLT.002.153 | TOT-BENEFICIARY-COINSURANCE-PAID-AMOUNT | CLT00002 | CLAIM-HEADER-RECORD-LT |
COT130 | COT.002.130 | TOT-BENEFICIARY-COINSURANCE-PAID-AMOUNT | COT00002 | CLAIM-HEADER-RECORD-OT |