Central Distributor SASD: Description of Data Elements

PAY2_N - Expected secondary payer, nonuniform

Documentation Sections:

General Notes

Uniform Values

State Specific Notes

General Notes

PAY2_N (where _N indicates nonuniform) preserves much of the original expected secondary payer detail from the various data sources. However, some categories of PAY2_N are not available from some sources because not all sources have the same level of detail available. The data element PAY2_N was discontinued in 1998. The HCUP data element PAY2_X retains the expected secondary payer as provided by the data source. In the 1988-1997 HCUP databases, the secondary pay source (PAY2_N) was set to inconsistent (.C) if the primary pay source and the secondary pay source are the same and the source is one of the following: Medicare (ED951), Medicaid (ED951), CHAMPUS (ED952), Worker's Compensation (ED952), and Title V (ED952). No edit checks were performed on the payer data elements beginning in the 1998 databases.

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Uniform Values

Variable Description Value Value Description PAY2_N Expected secondary payer, nonuniform 1 Medicare (mixed) 2 Medicaid 3 Blue Cross, Blue Cross PPO 4 Commercial, PPO (mixed) 5 Private HMO 6 Self-pay 7 No charge 8 Title V 9 Worker's Comp 10 CHAMPUS, CHAMPVA 11 Other Government 12 Other . Missing .A Invalid .B Unavailable from source (coded in 1988-1997 data only) .C Inconsistent: in 1998-1997 data, ED951, ED952

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State Specific Notes

Maryland Beginning in 1995, Maryland supplied a secondary pay source code. Medicare The HCUP category "Medicare" (PAY2_N = 1) includes the source code "Medicare HMO." Medicaid The HCUP category "Medicaid" (PAY2_N = 2) includes the source code "Medicaid HMO." CHAMPUS/CHAMPVA Maryland did not separately classify "CHAMPUS/CHAMPVA" (PAY2_N = 10). The available source documentation for Maryland did not indicate which payer type(s) were used for "CHAMPUS/CHAMPVA." New Jersey Unusual pay sources were recoded as follows: Pay Source Recoded to HCUP uniform value "No Fault" Private Insurance, PPO (PAY2_N = 4) "Personnel Health Plan" Other (PAY2_N = 12) "Indigent" 1988 1992: Other (PAY2_N = 11), From 1993: Self Pay (PAY2_N = 6) The source pay category "Indigent" was incorrectly mapped to "Other" (PAY2_N = 11) during HCUP processing of 1988 1992 data.

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