Reduction in patient liability due to payments by other payers (PLRO)

SAS Name
PLRO_AMT

This is the amount of any payment by other third-party payers that reduces the beneficiary’s liability for the PDE but does not count towards Part D’s true out-of-pocket (TrOOP) requirement.  Examples include payments by group health plans, worker's compensation, and governmental programs like the Veterans Administration and TRICARE.

Source: PDE

Comments

This variable comes directly from the original PDE.