NAME              TYPE   LENGTH
--------------------------------------    ----
61. NCH Primary Payer Code        CHAR      1

The code, on an institutional claim, specifying a federal
non-Medicare program or other source that has primary
responsibility for the payment of the Medicare beneficiary's
health insurance bills.

DB2 ALIAS: NCH_PRMRY_PYR_CD
SAS ALIAS: PRPAY_CD
STANDARD ALIAS: NCH_PRMRY_PYR_CD
TITLE ALIAS: PRIMARY_PAYER_CD

DERIVATION:
DERIVED FROM:
   CLM_VAL_CD
   CLM_VAL_AMT

DERIVATION RULES

  SET NCH_PRMRY_PYR_CD TO 'A' WHERE THE
  CLM_VAL_CD = '12'

  SET NCH_PRMRY_PYR_CD TO 'B' WHERE THE
  CLM_VAL_CD = '13'

  SET NCH_PRMRY_PYR_CD TO 'C' WHERE THE
  CLM_VAL_CD = '16' and CLM_VAL_AMT is zeroes

  SET NCH_PRMRY_PYR_CD TO 'D' WHERE THE
  CLM_VAL_CD = '14'

  SET NCH_PRMRY_PYR_CD TO 'E' WHERE THE
  CLM_VAL_CD = '15'

  SET NCH_PRMRY_PYR_CD TO 'F' WHERE THE
  CLM_VAL_CD = '16' (CLM_VAL_AMT not
  equal to zeroes)

  SET NCH_PRMRY_PYR_CD TO 'G' WHERE THE
  CLM_VAL_CD = '43'

  SET NCH_PRMRY_PYR_CD TO 'H' WHERE THE
  CLM_VAL_CD = '41'

  SET NCH_PRMRY_PYR_CD TO 'I' WHERE THE
  CLM_VAL_CD = '42'

  SET NCH_PRMRY_PYR_CD TO 'L' (or prior to 4/97
  set code to 'J') WHERE THE CLM_VAL_CD = '47'

CODES:
  REFER TO: BENE_PRMRY_PYR_TB
            IN THE CODES APPENDIX

COMMENT:
Prior to Version H this field was named:
BENE_PRMRY_PYR_CD.

SOURCE:
NCH