Total Amount Paid By Medicaid

SAS Name

The total amount paid by Medicaid or the managed care plan on this claim or adjustment at the header claim level.


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.

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.

SOURCE: T-MSIS Analytic File (TAF) Claims

Code Code value
Null/missing source value is missing or unknown