NCH Claim Type Code

SAS Name
NCH_CLM_TYPE_CD

The type of claim that was submitted. There are different claim types for each major category of health care provider.

Comments

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"

Source: NCH

Code Code value
10 HHA claim
20 Non swing bed SNF claim
30 Swing bed SNF claim
40 Outpatient claim
50 Hospice claim
60 Inpatient claim
61 Inpatient 'Full-Encounter' 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