MC098

Data ElementAllowed Amount
Description

Maximum amount contractually allowed and that an insurance carrier will pay to a provider for a particular procedure or service. This is a money field containing dollars and cents. Code decimal point. This field may contain a negative value. $0.00 is a valid value.

If this field is changed in the versioning process and the dollars must be voided or backed out, the value should be represented as a negative.

TypeNumeric
Format±decimal
Length10,2
Threshold100%
RequiredRequired
Tip / Notes
Rank108