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Data Element Name:  Source of Payment Code
SPARCS Data Element Number:  29
Record Positions:  See Group Definition Format-Length:  A/N - 1
Effective Date:  1/1/2003 Revision Date:  January 2003

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, HMO, or PHSP
    "G"=Blue Cross
    "H"=CHAMPUS
    "I"=Other Non-Federal Program

Edit Applications:

  1. For all payers Source of Payment Code is required.

  2. If "F" (Insurance Company, HMO, or PHSP) was coded, then Payer Identification (Data Element 31) was required.

  3. If either "C" (Medicare) or "D" (Medicaid) was coded, then Provider Identification Number (Data Element 33) was required.

  4. If "G" (Blue Cross) was coded, then Payer Identification (Data Element 31) and Provider Identification Number (Data Element 33) were required.