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Item #
Length
Source of Standard
Year Implemented
Version Implemented
Year Retired
Version Retired
630
2
CoC
NAACCR XML: Tumor.primaryPayerAtDx
Alternate Names
Primary Payer at Diagnosis (CoC)
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.
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
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