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This variable is contained in the following files: Carrier (Fee-for-Service), Durable Medical Equipment (Fee-for-Service)
Short SAS Name
SAS Name

The total submitted charges on the claim (sum of all line-level submitted charges, variable called LINE_SBMTD_CHRG_AMT)


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” (see:

Also in the Medicare Learning Network (MLN) “Payment System Fact Sheet Series” (see:

Source: NCH QA Process