: Public Class
Created: 5/18/2017 5:17:46 PM
Modified: 8/26/2017 2:00:50 AM
Project:
Advanced:
DEFINITION:<br/>A kind of payer/insurance carrier assigned to the subject. <br/><br/>EXAMPLE(S):<br/>Private Insurance, Medicare, Medicare And Private Insurance, Medicaid<br/><br/>OTHER NAME(S):<br/><br/>NOTE(S):<br/>
Attribute
Public CD
  code
Details:
Map:C3PRv2.9=StudySubject.paymentMethod
Map:CTOM=Participant.paymentMethodCode
Map:CTRPv3.8=StudySubject.paymentMethodCode
Map:CTRv1.0=StudySubject.paymentMethodCode
Map:NCI CRF Standard=CDE 2865130v1.0: Person Healthcare Payer Type
Map:SEER 2015=SECTION III DEMOGRAPHIC INFORMATION - PRIMARY PAYER AT DIAGNOSIS
Notes: DEFINITION:<br/>A coded value specifying the kind of payment method for this subject. <br/><br/>EXAMPLE(S):<br/>Private Insurance, Medicare, Medicare And Private Insurance, Medicaid<br/><br/>For the U.S. National Cancer Institute: (NCI) Surveillance, Epidemiology, and End Results (SEER) program <br/>(Code = Label - Definition):<br/>01 = Not insured - Patient has no insurance and is declared a charity write-off<br/>02 = Not insured, self-pay - Patient has no insurance and is declared responsible for charges<br/>10 = Insurance, NOS - Type of insurance is unknown or other than types listed in codes 20, 21, 31, 35, 60-68<br/>20 = Private Insurance: Managed care, HMO, or PPO - An organized system of prepaid care for a group of enrollees usually within a defined geographic area. Generally formed as one of four types: a group model, an independent physician association (IPA), a network, or a staff model. “Gate-keeper model” is another term for describing this type of insurance.<br/>21 = Private Insurance: Fee-for-service - An insurance plan that does not have negotiated fee structure with the participating hospital. Type of insurance plan not coded as 20.<br/>31 = Medicaid - State government administered insurance for persons who are uninsured, below the poverty level, or covered under entitlement programs<br/>Medicaid other than Medicaid described in code 35<br/>Etc.<br/><br/>OTHER NAME(S):<br/><br/>NOTE(S):<br/>
Public IVL<TS.DATETIME>
  dateRange
Details:
Map:SEER 2015=(Model integrity)
Notes: DEFINITION:<br/>The date (and time) span for when the subject's payment method is active.<br/><br/>EXAMPLE(S):<br/><br/>OTHER NAME(S):<br/><br/>NOTE(S):<br/>
Public BL
  primaryIndicator
Details:
Map:SEER 2015=(Model integrity)
Notes: DEFINITION:<br/>Specifies whether this is the main or principal payment method for this subject.<br/><br/>EXAMPLE(S):<br/>If a patient carries both Medicare and an Acme Private Insurance plan and this private insurance plan will kick in after Medicare covers initial costs, then Medicare is the primary payment method and primaryIndicator = "true" where code = "Medicare".<br/><br/>OTHER NAME(S):<br/><br/>NOTE(S):<br/>
Element Source Role Target Role
Subject
Class   		Name: coveringSubjectPaymentMethod
  		Name: coveredSubject
 
Details:
DESCRIPTION:<br/>Each SubjectPaymentMethod always covers costs for one Subject.  Each Subject might have costs covered by one or more SubjectPaymentMethod.<br/><br/>DEFINITION:<br/><br/>EXAMPLE(S):<br/><br/>OTHER NAME(S):<br/><br/>NOTE(S):<br/>
Tag Value
Map:SEER 2015 SECTION III DEMOGRAPHIC INFORMATION - PRIMARY PAYER AT DIAGNOSIS
Details: