AMT

Coordination of Benefits (COB) Discount Amount

Pos: 300	Max: 1
Detail - Optional
Loop: 2320	Elements: 2

Ref

Id

Element Name

Req

Type

Min/Max

Usage

AMT01

522

Amount Qualifier Code
Description: Code to qualify amount

M

ID

1/3

Required

Code

Name

D8

Discount Amount

AMT02

782

Monetary Amount
Description: Monetary amount
Industry: Other Payer Discount Amount
This amount is a crosswalk from AMT in the 835 (Loop CLP, position 062) when AMT01 = D8.

M

R

1/18

Required

Notes:

1. Required if claim has been adjudicated by the payer indentified in this loop and if this information was included in the remittance advice reporting those adjudication results.

Example:

AMT*D8*35~