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Short SAS Name
CLM_TYPE
SAS Name
NCH_CLM_TYPE_CD

The type of claim that was submitted. There are different claim types for each major category of health care provider.

Comments

This variable may not always indicate the type of service performed; for example, when the claim type code = 60 (inpatient), the services may actually be for post-acute care. Additional information regarding the type of service on the claim can be found in a CCW Technical Guidance document entitled: "Getting Started with Medicare data"

Source: NCH

CodeCode value
10
HHA claim
20
Non swing bed SNF claim
30
Swing bed SNF claim
40
Outpatient claim
50
Hospice claim
60
Inpatient claim
61
Inpatient 'Full-Encounter' claim
71
Local carrier non-durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) claim
72
Local carrier DMEPOS claim
81
Durable medical equipment regional carrier (DMERC); non-DMEPOS claim
82
DMERC; DMEPOS claim