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This variable is contained in the following files:
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.
| 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 |
Source: NCH