MEDPAR Beneficiary Primary Payer Code

SAS Name
BENE_PRMRY_PYR_CD

The code indicating the type of payer who has primary responsibility for the payment of the Medicare beneficiary's claims related to the stay.

Comments

Source: NCH

Code Code value
A Working aged bene/spouse with eghp
B ESRD bene in 18-month coordination period with eghp
C Conditional Medicare payment; future reimbursement expected
D Auto no-fault or any liability insurance
E Worker's compensation
F Phs or other federal agency (other than dept of veterans affairs)
G Working disabled
H Black lung
I Dept of veterans affairs
J Any liability insurance
Z/Blank Medicare is primary payer