Line Beneficiary Coinsurance Amount

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

Comments

Medicare payments are described in detail in a series called the Medicare Learning Network (MLN) “Payment System Fact Sheet Series”.