This variable is contained in the following files: Carrier (Fee-for-Service), Durable Medical Equipment (Fee-for-Service), Home Health Agency (Fee-for-Service), Hospice (Fee-for-Service), Inpatient (Fee-for-Service), Outpatient (Fee-for-Service), Skilled Nursing Facility (Fee-for-Service)
Short SAS Name
PRPAYAMT
SAS Name
NCH_PRMRY_PYR_CLM_PD_AMT
The amount of a payment made on behalf of a Medicare beneficiary by a primary payer other than Medicare, that the provider is applying to covered Medicare charges on a non-institutional claim.
Derivation Rules: It is calculated as the sum of the line-level primary payer amounts.
Source: NCH