20A
Property | Specification |
Data System | IRF-PAI |
Data Specs | V1.00.0 |
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 |
01 | Blue Cross | |
02 | Medicare non-MCO | |
03 | Medicaid non-MCO | |
04 | Commercial Insurance | |
05 | MCO HMO | |
06 | Workers' Compensation | |
07 | Crippled Children's Services | |
08 | Developmental Disabilities Services | |
09 | State Vocational Rehabilitation | |
10 | Private Pay | |
11 | Employee Courtesy | |
12 | Unreimbursed | |
13 | CHAMPUS | |
14 | Other | |
15 | None | |
16 | No-Fault Auto Insurance | |
51 | Medicare MCO | |
52 | Medicaid MCO |
Item Edits | |||
Edit ID | Type | Severity | Edit Text |
-1010 | Consistency | Fatal | Invalid Data Value: The submitted value for this item is not in the valid range of acceptable values. |
-1036 | Consistency | Fatal | Inconsistent 2/20A and 20B values: If Medicare is a payor (20A = [02, 51] or 20B = [02, 51], then item 2 (Patient Medicare number) cannot be blank. |
-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: This is a non-Medicare record and was not accepted by the ASAP system. |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 12/02/2011 02:56:12 PM