CARR_CLM_PMT_DNL_TB  Carrier Claim Payment Denial Table

 valid values effective 1/2011 (2-byte values are replacing the character values)
   0 = Denied
   1 = Physician/supplier
   2 = Beneficiary
   3 = Both physician/supplier and beneficiary
   4 = Hospital (hospital based physicians)
   5 = Both hospital and beneficiary
   6 = Group practice prepayment plan
   7 = Other entries (e.g. Employer, union)
   8 = Federally funded
   9 = PA service
   A = Beneficiary under limitation of liability
   B = Physician/supplier under limitation of liability
   D = Denied due to demonstration involvement (eff. 5/97)
   E = MSP cost avoided IRS/SSA/HCFA Data Match (eff. 7/3/00)
   F = MSP cost avoided HMO Rate Cell (eff. 7/3/00)
   G = MSP cost avoided Litigation Settlement (eff. 7/3/00)
   H = MSP cost avoided Employer Voluntary Reporting (eff. 7/3/00)
   J = MSP cost avoided Insurer Voluntary Reporting (eff. 7/3/00)
   K = MSP cost avoided Initial Enrollment Questionnaire (eff. 7/3/00)
   P = Physician ownership denial (eff 3/92)
   Q = MSP cost avoided - (Contractor #88888) voluntary agreement (eff. 1/98)
   T = MSP cost avoided - IEQ contractor (eff. 7/96) (obsolete 6/30/00)
   U = MSP cost avoided - HMO rate cell adjustment (eff. 7/96) (obsolete 6/30/00)
   V = MSP cost avoided - litigation settlement (eff. 7/96) (obsolete 6/30/00)
   X = MSP cost avoided - generic
   Y = MSP cost avoided - IRS/SSA data match project (obsolete 6/30/00)
   00= MSP cost avoided - COB Contractor
   12= MSP cost avoided - BC/BS Voluntary Agreements
   13= MSP cost avoided - Office of Personnel Management
   14= MSP cost avoided - Workman's Compensation (WC) Datamatch
   15= MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006)
   16= MSP cost avoided - Liability Insurer VDSA (eff.4/2006)
   17= MSP cost avoided - No-Fault Insurer VDSA  (eff.4/2006)
   18= MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff.4/2006)
   21= MSP cost avoided - MIR Group Health Plan (eff.1/2009)
   22= MSP cost avoided - MIR non-Group Health Plan (eff.1/2009)
   25= MSP cost avoided - Recovery Audit Contractor - California (eff.10/2005)
   26= MSP cost avoided - Recovery Audit Contractor - Florida (eff.10/2005)
   

   NOTE: Effective 4/1/02, the Carrier claim payment denial code was expanded to a 2-byte field.  The NCH instituted a crosswalk from the 2-byte code to a 1-byte character code. Below are the character codes (found in NCH &   NMUD). At some point, NMUD will carry the 2-byte code but NCH will continue to have the 1-byte character code.

   ! = MSP cost avoided - COB Contractor ('00' 2-byte code)
   @ = MSP cost avoided - BC/BS Voluntary Agreements ('12' 2-byte code)
   # = MSP cost avoided - Office of Personnel Management ('13' 2-byte code)
   $ = MSP cost avoided - Workman's Compensation (WC) Datamatch ('14' 2-byte code)
   * = MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) ('15' 2-byte code) (eff. 4/2006)
   ( = MSP cost avoided - Liability Insurer VDSA ('16' 2-byte code) (eff. 4/2006)
   ) = MSP cost avoided - No-Fault Insurer VDSA ('17' 2-byte code) (eff. 4/2006)
   + = MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement ('18' 2 -byte code) (eff. 4/2006)
   < = MSP cost avoided - MIR Group Health Plan ('21' 2-byte code) (eff. 1/2009)
   > = MSP cost avoided - MIR non-Group Health Plan ('22' 2-byte code) (eff. 1/2009)
   % = MSP cost avoided - Recovery Audit Contractor - California ('25' 2-byte code) (eff. 10/2005)
   & = MSP cost avoided - Recovery Audit Contractor - Florida ('26' 2-byte code) (eff. 10/2005)