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Line Primary Payer Code

CLM_PRMRY_PYR_CD

A CODE IDENTIFYING THE COVERAGE TYPE OF THE PRIMARY PAYER WHEN MEDICARE IS THE SECONDARY PAYER AT THE CLAIM LINE AS DEFINED BY THE COMMON WORKING FILE (CWF). REFERENCE TABLE: CLM_PRMRY_PYR_CD

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.item.extension.where(
  url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRMRY-PYR-CD'
).value.code
Coverage / Claim Type
  • Carrier
  • DME
Source View
V2_MDCR_CLM_LINE_PRFNL
Source Column
CLM_PRMRY_PYR_CD
Reference Table
https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PRMRY-PYR-CD
Sources
  • NCH
Profiles
  • CMS

Example 

H

Mappings

CCLF
  • CCLF5.CLM_LINE_PRMRY_PYR_CD
  • CCLF6.CLM_PRMRY_PYR_CD
CCW
  • LINE_BENE_PRMRY_PYR_CD

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