claim total

clm_tot

claims

Updated 5/16/2026

Definition

Aggregate sum of all billed charges or adjudicated amounts associated with an insurance reimbursement request. Captured in EHR, claims adjudication, and PBM systems, this value drives financial reconciliation, cost reporting, and downstream analytics for payer reimbursement validation and member cost-sharing calculations.

Standard Abbreviation

clm_tot

Database Usage

-- Example column naming
CREATE TABLE claims (
  clm_id VARCHAR(50),
  clm_tot INTEGER,  -- claim total (count/integer value)
  ...
);

-- Example in SELECT
SELECT
  clm_id,
  clm_tot as claim_total
FROM claims;

Common uses in healthcare data

Claims adjudication and remittance processing
837P/837I/837D claim file parsing and validation
Revenue cycle management and denial analytics
CMS cost report and Medicare cost reporting
Payer contract performance and underpayment analysis

Example database column name

ISO-11179 snake_case standard

-- Recommended column name
clm_tot

-- Example DDL
CREATE TABLE healthcare_data (
  record_id   VARCHAR(50)   NOT NULL,
  clm_tot      INTEGER,  -- claim total (count/integer value)
  created_dt  TIMESTAMP     NOT NULL DEFAULT NOW()
);

Column names follow the ISO-11179 naming convention: lowercase, underscore-separated, using the standard abbreviation as a prefix where applicable.

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