PAYOR SOURCE - ARCHIVE

Variables

Form Type	Variable	ID	Question	History
Form 1	AcutePay1old	3335	Primary Acute Payor	1989-10-01 - Variable Added 2016-01-01 - Variable Removed
Form 1	AcutePay2old	3336	Secondary Acute Payor	1989-10-01 - Variable Added 2016-01-01 - Variable Removed
Form 1	RehabPay1old	3515	Primary Rehabilitation Payor	1989-10-01 - Variable Added 2016-01-01 - Variable Removed
Form 1	RehabPay2old	3516	Secondary Rehabilitation Payor	1989-10-01 - Variable Added 2016-01-01 - Variable Removed

Codes and Values

ID 3335

For Form: [Form 1]
For Variables: [AcutePay1old]

Code	Description
1	Medicare
2	Medicaid
3	Workers Compensation
4	Private Insurance: Other ( BC/BS, employee insurance, privately purchased policies, etc. )
5	Private Insurance: Other
6	HMO ( Health Maintenance Organization )
7	Self or Private Pay
8	State or County ( State Crippled Children, Department Of Rehab, etc. )
9	Department of Rehabilitation
10	Auto Insurance
11	PPO
12	TRICARE/TRIWEST ( Formerly CHAMPUS )
14	Hospital Free Care
15	Medicare: Traditionally administered
16	Medicaid: Traditionally administered
17	Medicare: Managed care administered
18	Medicaid: Managed care administered
55	Payor Source Pending
77	Other
88	Not Applicable: No secondary payor
99	Unknown

ID 3336

For Form: [Form 1]
For Variables: [AcutePay2old]

Code	Description
1	Medicare
2	Medicaid
3	Workers Compensation
4	Private Insurance: Other ( BC/BS, employee insurance, privately purchased policies, etc. )
5	Private Insurance: Other
6	HMO ( Health Maintenance Organization )
7	Self or Private Pay
8	State or County ( State Crippled Children, Department Of Rehab, etc. )
9	Department of Rehabilitation
10	Auto Insurance
11	PPO
12	TRICARE/TRIWEST ( Formerly CHAMPUS )
14	Hospital Free Care
15	Medicare: Traditionally administered
16	Medicaid: Traditionally administered
17	Medicare: Managed care administered
18	Medicaid: Managed care administered
55	Payor Source Pending
77	Other
88	Not Applicable: No secondary payor
99	Unknown

ID 3515

For Form: [Form 1]
For Variables: [RehabPay1old]

Code	Description
1	Medicare
2	Medicaid
3	Workers Compensation
4	Private Insurance: Other ( BC/BS, employee insurance, privately purchased policies, etc. )
5	Private Insurance: Other
6	HMO ( Health Maintenance Organization )
7	Self or Private Pay
8	State or County ( State Crippled Children, Department Of Rehab, etc. )
9	Department of Rehabilitation
10	Auto Insurance
11	PPO
12	TRICARE/TRIWEST ( Formerly CHAMPUS )
14	Hospital Free Care
15	Medicare: Traditionally administered
16	Medicaid: Traditionally administered
17	Medicare: Managed care administered
18	Medicaid: Managed care administered
55	Payor Source Pending
77	Other
88	Not Applicable: No secondary payor
99	Unknown

ID 3516

For Form: [Form 1]
For Variables: [RehabPay2old]

Code	Description
1	Medicare
2	Medicaid
3	Workers Compensation
4	Private Insurance: Other ( BC/BS, employee insurance, privately purchased policies, etc. )
5	Private Insurance: Other
6	HMO ( Health Maintenance Organization )
7	Self or Private Pay
8	State or County ( State Crippled Children, Department Of Rehab, etc. )
9	Department of Rehabilitation
10	Auto Insurance
11	PPO
12	TRICARE/TRIWEST ( Formerly CHAMPUS )
14	Hospital Free Care
15	Medicare: Traditionally administered
16	Medicaid: Traditionally administered
17	Medicare: Managed care administered
18	Medicaid: Managed care administered
55	Payor Source Pending
77	Other
88	Not Applicable: No secondary payor
99	Unknown

History

No history found for the Domain.