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This variable is contained in the following files:
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.
Code | Code value |
---|---|
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 |
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