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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:

  1. "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:

  1. For all payers Source of Payment Code, Covered Days, (Data Element 41) and Non-Covered Days (Data Element 42) were required.

  2. If "F" (Insurance Company, HMO, or PHSP) was coded, then Payer Identification Number (Data Element 40) and Policy Number (Data Element 39) were required.

  3. 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.

  4. 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.