NCH Primary Payer (if not Medicare) Claim Paid Amount

This variable is contained in the following files:

Original Medicare (Fee-for-Service) Home Health Agency Original Medicare (Fee-for-Service) Hospice Original Medicare (Fee-for-Service) Inpatient Original Medicare (Fee-for-Service) Outpatient Original Medicare (Fee-for-Service) Skilled Nursing Facility

SAS Name

NCH_PRMRY_PYR_CLM_PD_AMT

The amount of a payment made on behalf of a Medicare beneficiary by a primary payer other than Medicare, that the provider is applying to covered Medicare charges on a non-institutional claim.

Source: NCH

Comments

Derivation Rules: It is calculated as the sum of the line-level primary payer amounts.