Primary Payer at Diagnosis (CoC)
|
630 |
2 |
CoC |
778 - 779 |
Description
Primary payer/insurance carrier at the time of initial diagnosis and/or treatment.
Rationale
This item is used in financial analysis and as an indicator for quality and outcome analyses. The Joint Commission on Accreditation of Healthcare Organizations requires the patient admission page document the type of insurance or payment structure that will cover the patient while being cared for at the hospital.
Codes
67 |
Veterans Affairs |
68 |
Indian/Public Health Service |
99 |
Insurance status unknown |
01 |
Not insured |
02 |
Not insured, self-pay |
10 |
Insurance, NOS |
20 |
Private Insurance: Managed care, HMO, or PPO |
21 |
Private Insurance: Fee-for-Service |
31 |
Medicaid |
35 |
Medicaid - Administered through a Managed Care plan |
60 |
Medicare/Medicare, NOS |
61 |
Medicare with supplement, NOS |
62 |
Medicare - Administered through a Managed Care plan |
63 |
Medicare with private supplement |
64 |
Medicare with Medicaid eligibility |
65 |
TRICARE |
66 |
Military |