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PAYER TYPE LIST PAYER PAYER TYPE TYPE CODE PAYER TYPE ...

Division of health care Finance and Policy CMR Submission of Hospital Case Mix and Charge Data PAYER Type & PAYER Source Code List - Effective Date 10/01/09 1 PAYER TYPE LIST PAYER TYPE CODE PAYER TYPE DEFINITION PAYER TYPE ABBREVIATION 1 Self Pay SP 2 Worker's Compensation WC 3 Medicare MCR F Medicare Managed care MCR-MC 4 Medicaid 4 B Medicaid Managed care MCD-MC 5 Other Government Payment GOV 6 Blue Cross BCBS C Blue Cross Managed care BCBS-MC 7 Commercial Insurance COM D Commercial Managed care COM-MC 8 HMO HMO 9 Other Free care (Charity care ) FC 0 Other Non-Managed care Plans OTH E PPO and Other Managed care Plans Not Elsewhere Classified PPO H health Safety Net HSN J Point-of-Service Plan POS K Exclusive Provider Organi

Division of Health Care Finance and Policy 114.1 CMR 17.00 Submission of Hospital Case Mix and Charge Data Payer Type & Payer Source Code List - Effective Date 10/01/09 7 174 Aetna Health Inc. - Quality POS 8 HMO 175 Aetna Health, Inc. - HMO 8 HMO 176 Carelink (CIGNA & Tufts) 7 COM 177 Chesapeake Life Insurance Company 7 COM

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