US · guidance
CMS Pub. 100-04, ch. 17, § 70.1.2
Coordination of Benefits (COB)
The NCPDP has approved the following use of qualifiers for reporting Medicare COB amounts:
Qualifier Description
07 Medicare Allowed Amount
08 Medicare Paid Amount
99 1st Occurrence - Deductible Amount
99 2nd Occurrence - Coinsurance Amount
99 3rd Occurrence - Co-Payment Amount
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
91776f9c09dfe8b855279d7cd90e5c0f7d1a2a9412a75461da79385a675ac2ee
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