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This variable is contained in the following files:
SAS Name
LINE_COINSRNC_AMT
The beneficiary coinsurance liability amount for this line-item service on the non-institutional claim.
This variable is the beneficiary’s liability for coinsurance for the service on the line-item record.
Beneficiaries only face coinsurance once they have satisfied Part B’s annual deductible, which applies to both institutional (e.g., Hospital outpatient) and non-institutional (e.g., carrier and DME) services.
For most Part B services, coinsurance equals 20 percent of the allowed amount.
Values: XXX.XX
Source: NCH
Medicare payments are described in detail in a series called the Medicare Learning Network (MLN) “Payment System Fact Sheet Series”.