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| Data Element Name: Source of Payment Code | File Location: Master, De-Identified |
| SPARCS Data Element Number: 38 | |
| Record Positions: See Group Definition | Format-Length: A/N - 1 |
| Effective Date: 1/1/1994 | Revision Date: |
| Deniable Data Element: No | |
Definition:
The code which indicates the type of payment for this occurrence.
Codes and Values:
- "A"=Self-Pay
"B"=Workers' Compensation
"C"=Medicare
"D"=Medicaid
"E"=Other Federal Program
"F"=Insurance Company
"G"=Blue Cross
"H"=CHAMPUS
"I"=Other Non-Federal Program
Edit Applications:
- For all payers Source of Payment Code, Covered Days,
(Data Element 41) and
Non-Covered Days (Data Element 42)
were required.
- If "F" (Insurance Company, HMO, or PHSP) was coded, then Payer Identification Number
(Data Element 40) and
Policy Number (Data Element 39)
were required.
- If either "C" (Medicare) or "D" (Medicaid) was coded, then both Policy Number
(Data Element 39) and
Provider Identification Number
(Data Element 43) were required.
- If "G" (Blue Cross) was coded, then Payer Identification Number (Data Element 40), Policy Number (Data Element 39), and Provider Identification Number (Data Element 43) were required.
