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This variable is contained in the following files: Carrier (Fee-for-Service), Durable Medical Equipment (Fee-for-Service)
Short SAS Name
PMTINDSW
SAS Name
LINE_PMT_80_100_CD

The code indicating that the amount shown in the payment field on the non-institutional line item represents either 80% or 100% of the allowed charges less any deductible, or 100% limitation of liability only.

Comments

Source: NCH

CodeCode value
0
80%
1
100%
3
100% Limitation of liability only
4
75% Reimbursement