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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 P

Division of Health Care Finance and Policy ... Q Commonwealth Care Plans CommCare . Division of Health Care Finance and Policy 114.1 CMR 17.00 Submission of Hospital Case Mix and Charge Data ... 42 ConnectiCare of Massachusetts 8 HMO 43 Invalid (no replacement) 44 Invalid (no replacement) ...

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