PREM-PAYOR

Premium Payor or Payor. This field identifies the agency/person currently paying the Medicare Part A (if required) and Part B premiums. This field can be viewed from INQB screen.

010 to 650

Indicates a State is paying the Part B premium. California’s State Code is ‘050’

CIVIL

Civil Service is billed for Part B premium

PRITP

Private third party is billed for Part A premium

RRB

Railroad Board has jurisdiction

SELF

Beneficiary is responsible for Part A premium

T01 - Z98

Private third party is billed for premiums

Z99

Conditional Part A Enrollment