Variable: CLM_NCH_PRMRY_PYR_CD
NCH Primary Payer Code
Description:
A CODE IDENTIFYING THE COVERAGE TYPE OF THE PRIMARY PAYER WHEN MEDICARE IS THE SECONDARY PAYER AS DEFINED BY THE COMMON WORKING FILE (CWF).
Values
This variable is coded, and will contain one of the following values.
| Value | Description |
|---|---|
| A | WORKING AGED BENEFICIARY/SPOUSE WITH EMPLOYER GROUP HEALTH PLAN |
| B | ESRD BENEFICIARY IN 12 MONTH PERIOD WITH EMPLOYER GROUP HEALTH PLAN |
| C | ANY CONDITIONAL MEDICARE PAYMENT SITUATION |
| D | AUTOMOBILE NO FAULT OR ANY LIABILITY INSURANCE |
| E | WORKER'S COMPENSATION INCLUDING BLACK LUNG |
| F | VETERAN'S AFFAIRS, PUBLIC HEALTH SERVICE, OR OTHER FEDERAL AGENCY |
| G | WORKING DISABLED |
| H | BLACK LUNG |
| I | VETERAN'S AFFAIRS |
| L | LIABILITY |
| M | OVERRIDE CODE EMPLOYEE GROUP HEALTH PLAN SERVICE INVOLVED |
| N | OVERRIDE CODE NON-EMPLOYEE GROUP HEALTH PLAN SERVICE INVOLVED |
| W | WORKER'S COMPENSATION SET-ASIDE |
| X | OVERRIDE CODE MSP COST AVOIDED |
| Y | OTHER SECONDARY PAYER INVESTIGATION SHOWS MEDICARE PRIMARY |
| Z | MEDICARE IS PRIMARY PAYER |
| ~ | NO DESCRIPTION AVAILABLE |