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