---
title: "URSA-CORE-933: Claims or Bills with Negative Financial Amount"
slug: "ursa-core-933-claims-or-bills-with-negative-financial-amount-1"
updated: 2026-11-04T20:13:15Z
published: 2026-11-04T20:13:15Z
canonical: "docs.ursahealth.com/ursa-core-933-claims-or-bills-with-negative-financial-amount-1"
---

> ## Documentation Index
> Fetch the complete documentation index at: https://docs.ursahealth.com/llms.txt
> Use this file to discover all available pages before exploring further.

# URSA-CORE-933: Claims or Bills with Negative Financial Amount

## Measure Description

Among institutional claim or bill headers, professional claim or bill service line items, or pharmacy claims with at least one non-NULL allowed amount, plan paid amount, patient responsibility amount, or patient paid amount, the percentage with a negative amount in at least one of those fields.

## Metadata

- **Measure Identifier**: URSA-CORE-933
- **Measure Type**: Rate Measure
- **Temporal Structure**: Event
- **Component Class**: Normal-Form
- **Case Field**: Document ID
- **Observation Field**: Document ID
- **Target Direction**: Down

## Denominator Description

One per institutional claim or bill headers, professional claim or bill service line items, or pharmacy claims with at least one non-NULL allowed amount, plan paid amount, patient responsibility amount, or patient paid amount.

## Numerator Description

One per qualifying denominator observation with a negative allowed amount, plan paid amount, patient responsibility amount, or patient paid amount.

## Published Fields

- **Data Model Keys**
  - Document ID -- The internal database identifier (used, e.g., for joins and primary keys) for the document. (See also [URSA-CORE] Document)
  - Institutional Claim ID -- The internal database identifier (used, e.g., for joins and primary keys) for the claim. (See also [URSA-CORE] Claim)
  - Professional Claim Service Line Item ID -- The identifier for a service line item on an institutional or professional claim.
  - Institutional Bill ID -- The identifier for a professional or institutional bill header record; Bill ID values are consistent over the lifetime of a bill, including when a bill is adjusted. On a claim record, this field refers to the bill sent to the plan that originated the claim record.
  - Professional Bill Service Line Item ID -- The identifier for a service line item on an institutional or professional bill.
  - Service Line Number -- The integer-valued ordinal representing the position of a service line item in a claim, bill, encounter, or other master record. May not necessarily match the analogous value in the source data for the same record.
  - Plan ID -- The identifier for a particular health insurance plan product offered by a payor.
  - Payor ID -- The identifier for the health insurance organization associated with the current record.
  - Source ID -- The identifier for the original source data system from which the current record originated.
- **Date Fields**
  - Document Effective Date -- The most appropriate single date that events associated with the document occurred. For documents spanning multiple calendar days, the earliest date is typically used; Document Effective Start Date and Document Effective End Date can be used for a more precise range of dates, if necessary.
  - Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
  - Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
- **Clinical Services Fields**
  - HCPCS Code -- The Healthcare Common Procedure Coding System (HCPCS) code associated with a service. Includes both HCPCS Level I codes (commonly called CPT codes) and Level II codes (which includes products, supplies, and services not included in CPT). Level II codes consist of a letter followed by four numeric digits. Current Dental Terminology codes are included in the Level II codes as HCDT. (See also [URSA-CORE] HCPCS Description)
- **Billing and Claims Fields**
  - CMS Type of Bill Code -- The standard CMS 3-digit Type of Bill (TOB) Code; 111 = Hospital Inpatient Admit Through Discharge, etc.
- **Financial Fields**
  - Document Allowed Amount
  - Document Plan Paid Amount
  - Document Patient Responsibility Amount
  - Document Patient Paid Amount
- **Numerator Fields**
  - Is Allowed Amount Negative
  - Is Plan Paid Amount Negative
  - Is Patient Responsibility Amount Negative
  - Is Patient Paid Amount Negative
- **Metadata Fields**
  - Document Type Description
- **Measure Fields**
  - Denominator