NAME             TYPE   LENGTH
-------------------------------------   ------
    Claim Medicare Non Payment  CHAR      1
    Reason Code

	The reason that no Medicare payment is made for
	services on an institutional claim.

	NOTE:  Effective with Version I, this field was
	       put on all institutional claim types.
	       Prior to Version I, this field was present
	       only on inpatient/SNF claims.

	SHORT NAME: NOPAY_CD
	LONG NAME: CLM_MDCR_NON_PMT_RSN_CD

	EDIT-RULES:
	OPTIONAL

	CODES:
	Claim Medicare Non-Payment Reason Table
	---------------------------------------
	A = Covered worker's compensation (Obsolete)
	B = Benefit exhausted
	C = Custodial care - noncovered care
	    (includes all 'beneficiary at fault'
	    waiver cases) (Obsolete)
	E = HMO out-of-plan services not emergency
	    or urgently needed (Obsolete)
	E = MSP cost avoided - IRS/SSA/HCFA Data
	    Match (eff. 7/00)
	F = MSP cost avoid HMO Rate Cell (eff. 7/00)
	G = MSP cost avoided Litigation Settlement
	    (eff. 7/00)
	H = MSP cost avoided Employer Voluntary
	    Reporting (eff. 7/00)
	J = MSP cost avoid Insurer Voluntary
	    Reporting (eff. 7/00)
	K = MSP cost avoid Initial Enrollment
	    Questionnaire (eff. 7/00)
	N = All other reasons for nonpayment
	P = Payment requested
	Q = MSP cost avoided Voluntary Agreement
	    (eff. 7/00)
	R = Benefits refused, or evidence not
	    submitted
	T = MSP cost avoided - IEQ contractor
	    (eff. 9/76) (obsolete 6/30/00)
	U = MSP cost avoided - HMO rate cell
	    adjustment (eff. 9/76) (Obsolete 6/30/00)
	V = MSP cost avoided - litigation
	    settlement (eff. 9/76) (Obsolete 6/30/00)
	W = Worker's compensation (Obsolete)
	X = MSP cost avoided - generic
	Y = MSP cost avoided - IRS/SSA data
	    match project (obsolete 6/30/00)
	Z = Zero reimbursement RAPs -- zero reimbursement
	    made due to medical review intervention or
	    where provider specific zero payment has been
	    determined. (effective with HHPPS - 10/00)

	SOURCE:
	CWF