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 | 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 |
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