NCH Carrier Claim Submitted Charge Amount (sum of all line-level submitted charges) | ResDAC

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This variable is contained in the following files:

SAS Name

NCH_CARR_CLM_SBMTD_CHRG_AMT

The total submitted charges on the claim (sum of all line-level submitted charges, variable called LINE_SBMTD_CHRG_AMT).

Values: XXX.XX

Source: NCH QA Process

Comments

The charges the provider submits may be different than the amount that Medicare or a secondary payer will allow for the claim — and this amount is also different than the actual Medicare or beneficiary paid amounts.

Medicare payments are described in detail in a series of Medicare Payment Advisory Commission (MedPAC) documents called “Payment Basics”.

Also, in the Medicare Learning Network (MLN) “Payment System Fact Sheet Series”.