Reduction in patient liability due to payments by other payers (PLRO)

SAS Name
PLRO_AMT

This is the amount of any payment by other third-party payers that reduces the beneficiary’s liability for the PDE but does not count towards Part D’s true out-of-pocket (TrOOP) requirement.  Examples include payments by group health plans, worker's compensation, and governmental programs like the Veterans Administration and TRICARE.

Comments

This variable comes directly from the original PDE.

Source: PDE