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out of pocket maximum

oop_max
general
Updated 3/30/2026

Definition

The upper limit value for a patient paid amount. Used in healthcare data management and clinical workflows. 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_max

Category

general

Database Usage

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

-- Example in SELECT
SELECT 
  claim_id,
  oop_max as out_of_pocket_maximum
FROM claims;

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