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precertification payment amount

precert_pmt_amt
claims
Updated 3/30/2026

Definition

The payment transaction value for a pre-service authorization. Used to capture financial data associated with precertification transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for precertification management and reporting.

Standard Abbreviation

precert_pmt_amt

Category

claims

Database Usage

-- Example column naming
CREATE TABLE claims (
  clm_id VARCHAR(50),
  precert_pmt_amt NUMBER(12,2),  -- precertification payment amount (precision 12, scale 2)
  ...
);

-- Example in SELECT
SELECT
  clm_id,
  precert_pmt_amt as precertification_payment_amount
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
precertification_payment_amount

-- Example DDL
CREATE TABLE healthcare_data (
  record_id   VARCHAR(50)   NOT NULL,
  precertification_payment_amount NUMBER(12,2),  -- precertification payment amount (precision 12, scale 2)
  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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