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This variable is contained in the following files:
SAS Name
MDCD_ALOWD_AMT
The claim level maximum amount determined by the payer as being 'allowable' under the provisions of the contract prior to the determination of actual payment.
Dollar amount with two decimal places (e.g. 98.76); may be negative.
| Code | Code value |
|---|---|
| Null/missing | source value is missing or unknown |
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