20A

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Property | Specification
Data System

IRF-PAI
Data Specs V5.00.0 DRAFT
Description Primary Payment Source
XML Tag R20A
Group Asmt
Type Code
Length 2
Fixed Start-End 716-717
Version Notes

Item Values
Value | LOINC | Text
02 |  | Medicare - Fee for Service
51 |  | Medicare - Medicare Advantage
99 |  | Not Listed

Item Edits
Edit ID | Type | Severity | Edit Text
-1038 | Consistency | Fatal | Inconsistent 20A/20B values: The Primary Payment Source (20A) cannot be equal to [02, 51] if Secondary Payment Source (20B) is equal to [02, 51].
-1044 | Consistency | Fatal | Non-Medicare Record: If Medicare is not a payor (20A is not = [02, 51] and 20B is not = [02, 51]), then the record will be rejected by the ASAP system.
-1109 | Consistency | Fatal | Inconsistent 2/20A/20B values: If Medicare is a payor (20A = [02, 51] or 20B = [02, 51], then the Patient Medicare number (2) cannot be skipped with value of "No information" [^].
-1010 | Format | Fatal | Invalid Data Value: The submitted value for this item is not in the valid range of acceptable values.

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Generated: 03/16/2020 09:31:12 AM