Medicaid Amount Paid for All Ancillary (Non-Room & Board) Revenue Lines

SAS Name

A code which identifies a specific accommodation, ancillary service or billing calculation (as defined by UB-04 Billing Manual).


This field is calculated as the sum of the Medicaid Paid Amount (LINE_MDCD_PD_AMT) for all lines where the revenue center code (REV_CNTR_CD) is not equal to 0100-0219.
Not available for managed care claims. CMS has required redaction of some payment fields for managed care claims due to the proprietary and confidential nature of this information. The managed care records are identified as those where the claim type code (CLM_TYPE_CD) = 3, C or W.

Dollar amounts in this field represent payments made either by the state or their fiscal agent to providers, managed care plans, and beneficiaries or they represent payments made by managed care plans to their providers.

SOURCE: T-MSIS Analytic File (TAF) Claims

Dollar amount with two decimal places (e.g. 98.76)
Code Code value
Null/missing source value is missing or unknown