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out of pocket balance

oop_bal
general
Updated 3/30/2026

Definition

The outstanding amount owed for a patient paid amount. Used to capture financial data associated with out of pocket transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for out of pocket management and reporting.

Standard Abbreviation

oop_bal

Category

general

Database Usage

-- Example column naming
CREATE TABLE claims (
  claim_id VARCHAR(50),
  oop_bal VARCHAR(100),  -- out of pocket balance
  ...
);

-- Example in SELECT
SELECT 
  claim_id,
  oop_bal as out_of_pocket_balance
FROM claims;

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