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.

• 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 and acuity are among the many variables included in the risk models, if analysis shows they are a significant predictor of the outcome.

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

• Payer source had 18 categories that were combined into five payer groups: public (Medicare, Medicare/Medicaid, Medicaid, welfare, other federal government, other local government, and other state government, CHAMPUS, CHAMPUS/VA); private (HMO, PPO, self-insured, auto insurance, commercial insurance); uninsured (charity, no charge, and self pay); other (research fund, teaching fund, victim’s fund, other), and workers’ compensation as a separate fifth category.

• Payer source was collected through the medical record as part of the trauma registry, and represent payers to which a claim was submitted.

• Leslie at FISC Money Management said she would be interested in a Payer source to help fund a payee program, however, they do not take over bills or accounts they are only there to help walk clients through and advising clients on their bills.10.

• Admissions in the TEDS thus encompass services received in both inpatient and outpatient settings (where treatment is sometimes referred to as an ‘encounter’ rather than an ‘admission’).18 Specifically, we first construct the share of the population that is 18 years and older from the ACS and second we multiply this number by a state’s population.19 Payer source is documented in the TEDS with the following item: ‘Identifies the primary source of payment for this treatment episode.

• 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.