MEDPAR NCH Claim Type Code

SAS Name
NCH_CLM_TYPE_CD

The code used to identify the type of claim record being processed in NCH.

NOTE1: During the Version H conversion this field was populated with data throughout history (back to service year 1991).

NOTE2: During the Version I conversion this field was expanded to include inpatient 'full' encounter claims (for service dates after 6/30/97).

NOTE3: Effective with Version 'J', 3 new code values have been added to include a type code for the Medicare Advantage claims (IME/GME, no-pay and paid as FFS). During the Version 'J' conversion, these type codes were populated throughout history. 

Comments

Source: NCH

Code Code value
10 HHA claim
20 Medicare Non-Swing Bed Skilled Nursing Facility (SNF) Claim
30 Medicare Swing Bed SNF Claim
60 Medicare Inpatient Claim
61 Medicare Inpatient Full Encounter Claim
62 Medicare Advantage Indirect Medical Education (IME)/Graduate Medical Education (GME) Claims
63 Medicare Advantage (No-Pay) Claims
64 Medicare Advantage (Paid as fee-for-service) Claims