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out of pocket claim status

oop_clm_sts
claims
Updated 3/30/2026

Definition

The claim adjudication state for a patient paid amount. Used to track the current state or condition of the out of pocket. 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_clm_sts

Category

claims

Database Usage

-- Example column naming
CREATE TABLE claims (
  claim_id VARCHAR(50),
  oop_clm_sts VARCHAR(100),  -- out of pocket claim status
  ...
);

-- Example in SELECT
SELECT 
  claim_id,
  oop_clm_sts as out_of_pocket_claim_status
FROM claims;

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