Code indicating whether Group Health Organization (GHO) has paid provider for claim(s)

SAS Name
GHO_PD_CD

The code indicating whether a group health organization (GHO; also known as a managed care organization) has paid the provider for the claim(s).

Comments

This field comes from the GHO-paid (aka MCO paid) indicator that is present on the first claim record included in the stay.

Source: NCH

Code Code value
1 Yes, paid by GHO/MCO
Null/missing Not paid by GHO/MCO