NCH Claim Type Code
The type of claim that was submitted. There are different claim types for each major category of health care provider.
This variable may not always indicate the type of service performed; for example, when the claim type code = 60 (inpatient), the services may actually be for post-acute care.
Additional information regarding the type of service on the claim can be found in a CCW Technical Guidance document entitled: "Getting Started with Medicare data"
This variable is coded, and will contain one of the following values.
Value | Description |
---|---|
10 |
Home Health Agency (HHA) claim |
20 |
Non swing bed Skilled Nursing Facility (SNF) claim |
30 |
Swing bed SNF claim |
40 |
Hospital Outpatient claim |
50 |
Hospice claim |
60 |
Inpatient claim |
71 |
Local carrier non-durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) claim |
72 |
Local carrier DMEPOS claim |
81 |
Durable medical equipment regional carrier (DMERC); non-DMEPOS claim |
82 |
DMERC; DMEPOS claim |
Some additional information on this variable: