Total Medicare Coinsurance Amount

SAS Name

The amount paid by Medicaid/CHIP or the managed care plan, on this claim, toward the beneficiary’s Medicare coinsurance.


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

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