Payer source definition

Payer source means an individual or an entity, such as a private insurance company, AHCCCS, or Medicare, to which a health care institution sends a bill for the services provided to an individual by the health care institution.

Examples of Payer source in a sentence

• Payer source is the specific health care coverage plan, such as Harvard Pilgrim Health Plan or Aetna Life Insurance.

• Code ‘99’ to signify that the code entered in SV101(2) is descriptive of the service Case #3: Other Primary Payer SV101(2): Enter a valid CPT or HCPCS procedure code (see pages AE-4-10, 55-57) NTE02: Must contain a valid three-digit DBHDID service code (see pages AE-4-10, 55-57) REMINDER:For every service reported in the Event Data Set, a valid Payer source must also be listed in field DAO-05 (Source of Pay 1 Prime Payer).

• Overview of Purpose, Usage and Benefit of Guidelines The main purpose of the Guidelines are to reduce confusion and increase consistency of understanding, interpretation and application of the significant number of existing regulations and other official guidance associated with verifying the Payer (source of payment) and Payee (receiver of payment) identities when making payments.

• Payer source is the specific health care coverage plan, such as Harvard Pilgrim Health Plan or Tufts Associated Health Plan.

• A HIS-Admission and a HIS-Discharge record are submitted for all patient admissions to a Medicare-certified hospice program on or after July 1, 2014, regardless of the following: • Payer source (Medicare, Medicaid, or private payer).

• Payer source is the specific health care coverage plan, such as Harvard Pilgrim Health Plan or Aetna Life Insurance.Over the years, payer type and payer source codes have been further expanded and updated to reflect the current industry.

• Special thanks to my wife Louanne, Mom, Dad, and Albert, for putting up with me over the last six and a half years of coursework, papers, sleepless nights, and exams.

• Factors affecting stage of breast cancer at diagnosis: Payer source may outweigh ethnicity.

• Payer: source of payment for the therapy services, coded as PPO (Preferred Provider Organization), Indemnity (fee-for-service) plans, Litigation (patient is involved with an attorney to settle the claim and identify who is responsible for the treatment), Medicaid, Medicare Part A, Medicare Part B, Patient (patient private pay), HMO (Health Maintenance Organization), and Other.

• There is a two-person game and the players are local governments.