20A


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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.

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Generated: 12/02/2011 02:56:12 PM