* indicates required field
Length: 2
Source of Standard: CoC
Section Name: Hospital-Specific
Record Types: A, M, C, I
XML NAACCR ID: primaryPayerAtDx
Parent XML Element: Tumor
Alternate Names:
- Primary Payer at Diagnosis (CoC)
Required Status:
NPCR Collect: R* - Required, when available
CoC Collect: R - Required
SEER Collect: R - Required
CCCR Collect: . - No recommendations
Description:
Primary payer/insurance carrier at the time of initial diagnosis and/or treatment at the reporting facility.
Rationale:
This item is used in financial analysis and as an indicator for quality and outcome analyses.
Format:
Right justified, zero filled
Item Data Type:
digits
Allowable Values
01, 02, 10, 20, 21, 31, 35, 60-68, 99
Codes:
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 |
67 |
Veterans Affairs |
68 |
Indian/Public Health Service |
99 |
Insurance status unknown |