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out of pocket payment status

oop_pmt_sts
claims
Updated 3/30/2026

Definition

The payment processing state 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_pmt_sts

Category

claims

Database Usage

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

-- Example in SELECT
SELECT 
  claim_id,
  oop_pmt_sts as out_of_pocket_payment_status
FROM claims;

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