Code
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System
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Display
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1
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https://nahdo.org/sopt |
MEDICARE |
11
|
https://nahdo.org/sopt |
Medicare Managed Care (Includes Medicare Advantage Plans) |
111
|
https://nahdo.org/sopt |
Medicare HMO |
1111
|
https://nahdo.org/sopt |
Medicare Chronic Condition Special Needs Plan (C-SNP) |
1112
|
https://nahdo.org/sopt |
Medicare Institutional Special Needs Plan (I-SNP) |
112
|
https://nahdo.org/sopt |
Medicare PPO |
113
|
https://nahdo.org/sopt |
Medicare POS |
119
|
https://nahdo.org/sopt |
Medicare Managed Care Other |
12
|
https://nahdo.org/sopt |
Medicare (Non-managed Care) |
121
|
https://nahdo.org/sopt |
Medicare FFS |
122
|
https://nahdo.org/sopt |
Medicare Drug Benefit |
123
|
https://nahdo.org/sopt |
Medicare Medical Savings Account (MSA) |
129
|
https://nahdo.org/sopt |
Medicare Non-managed Care Other |
13
|
https://nahdo.org/sopt |
Medicare Hospice |
14
|
https://nahdo.org/sopt |
Dual Eligibility Medicare/Medicaid Organization |
141
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https://nahdo.org/sopt |
Dual Eligible Special Needs Plan (D-SNP) |
142
|
https://nahdo.org/sopt |
Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) |
19
|
https://nahdo.org/sopt |
Medicare Other |
191
|
https://nahdo.org/sopt |
Medicare Pharmacy Benefit Manager |
2
|
https://nahdo.org/sopt |
MEDICAID |
21
|
https://nahdo.org/sopt |
Medicaid (Managed Care) |
211
|
https://nahdo.org/sopt |
Medicaid HMO |
212
|
https://nahdo.org/sopt |
Medicaid PPO |
213
|
https://nahdo.org/sopt |
Medicaid PCCM (Primary Care Case Management) |
219
|
https://nahdo.org/sopt |
Medicaid Managed Care Other |
22
|
https://nahdo.org/sopt |
Medicaid (Non-managed Care Plan) |
23
|
https://nahdo.org/sopt |
Medicaid/SCHIP |
25
|
https://nahdo.org/sopt |
Medicaid - Out of State |
26
|
https://nahdo.org/sopt |
Medicaid - Long Term Care |
29
|
https://nahdo.org/sopt |
Medicaid Other |
291
|
https://nahdo.org/sopt |
Medicaid Pharmacy Benefit Manager |
299
|
https://nahdo.org/sopt |
Medicaid - Dental |
3
|
https://nahdo.org/sopt |
OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections) |
31
|
https://nahdo.org/sopt |
Department of Defense |
311
|
https://nahdo.org/sopt |
TRICARE (CHAMPUS) |
3111
|
https://nahdo.org/sopt |
TRICARE Prime--HMO |
3112
|
https://nahdo.org/sopt |
TRICARE Extra--PPO |
3113
|
https://nahdo.org/sopt |
TRICARE Standard - Fee For Service |
3114
|
https://nahdo.org/sopt |
TRICARE For Life--Medicare Supplement |
3115
|
https://nahdo.org/sopt |
TRICARE Reserve Select |
3116
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https://nahdo.org/sopt |
Uniformed Services Family Health Plan (USFHP) -- HMO |
3119
|
https://nahdo.org/sopt |
Department of Defense - (other) |
312
|
https://nahdo.org/sopt |
Military Treatment Facility |
3121
|
https://nahdo.org/sopt |
Enrolled Prime--HMO |
3122
|
https://nahdo.org/sopt |
Non-enrolled Space Available |
3123
|
https://nahdo.org/sopt |
TRICARE For Life (TFL) |
313
|
https://nahdo.org/sopt |
Dental --Stand Alone |
32
|
https://nahdo.org/sopt |
Department of Veterans Affairs |
321
|
https://nahdo.org/sopt |
Veteran care-Care provided to Veterans |
3211
|
https://nahdo.org/sopt |
Direct Care-Care provided in VA facilities |
3212
|
https://nahdo.org/sopt |
Indirect Care-Care provided outside VA facilities |
32121
|
https://nahdo.org/sopt |
Fee Basis |
32122
|
https://nahdo.org/sopt |
Foreign Fee/Foreign Medical Program (FMP) |
32123
|
https://nahdo.org/sopt |
Contract Nursing Home/Community Nursing Home |
32124
|
https://nahdo.org/sopt |
State Veterans Home |
32125
|
https://nahdo.org/sopt |
Sharing Agreements |
32126
|
https://nahdo.org/sopt |
Other Federal Agency |
32127
|
https://nahdo.org/sopt |
Dental Care |
32128
|
https://nahdo.org/sopt |
Vision Care |
322
|
https://nahdo.org/sopt |
Non-veteran care |
3221
|
https://nahdo.org/sopt |
Civilian Health and Medical Program for the VA (CHAMPVA) |
3222
|
https://nahdo.org/sopt |
Spina Bifida Health Care Program (SB) |
3223
|
https://nahdo.org/sopt |
Children of Women Vietnam Veterans (CWVV) |
3229
|
https://nahdo.org/sopt |
Other non-veteran care |
33
|
https://nahdo.org/sopt |
Indian Health Service or Tribe |
331
|
https://nahdo.org/sopt |
Indian Health Service - Regular |
332
|
https://nahdo.org/sopt |
Indian Health Service - Contract |
333
|
https://nahdo.org/sopt |
Indian Health Service - Managed Care |
334
|
https://nahdo.org/sopt |
Indian Tribe - Sponsored Coverage |
34
|
https://nahdo.org/sopt |
HRSA Program |
341
|
https://nahdo.org/sopt |
Title V (MCH Block Grant) |
342
|
https://nahdo.org/sopt |
Migrant Health Program |
343
|
https://nahdo.org/sopt |
Ryan White Act |
344
|
https://nahdo.org/sopt |
Disaster-related (includes Covid-19) |
349
|
https://nahdo.org/sopt |
Other |
35
|
https://nahdo.org/sopt |
Black Lung |
36
|
https://nahdo.org/sopt |
State Government |
361
|
https://nahdo.org/sopt |
State SCHIP program (codes for individual states) |
362
|
https://nahdo.org/sopt |
Specific state programs (list/ local code) |
369
|
https://nahdo.org/sopt |
State, not otherwise specified (other state) |
37
|
https://nahdo.org/sopt |
Local Government |
371
|
https://nahdo.org/sopt |
Local - Managed care |
3711
|
https://nahdo.org/sopt |
HMO |
3712
|
https://nahdo.org/sopt |
PPO |
3713
|
https://nahdo.org/sopt |
POS |
372
|
https://nahdo.org/sopt |
FFS/Indemnity |
379
|
https://nahdo.org/sopt |
Local, not otherwise specified (other local, county) |
38
|
https://nahdo.org/sopt |
Other Government (Federal, State, Local not specified) |
381
|
https://nahdo.org/sopt |
Federal, State, Local not specified managed care |
3811
|
https://nahdo.org/sopt |
Federal, State, Local not specified - HMO |
3812
|
https://nahdo.org/sopt |
Federal, State, Local not specified - PPO |
3813
|
https://nahdo.org/sopt |
Federal, State, Local not specified - POS |
3819
|
https://nahdo.org/sopt |
Federal, State, Local not specified - not specified managed care |
382
|
https://nahdo.org/sopt |
Federal, State, Local not specified - FFS |
389
|
https://nahdo.org/sopt |
Federal, State, Local not specified - Other |
39
|
https://nahdo.org/sopt |
Other Federal |
391
|
https://nahdo.org/sopt |
Federal Employee Health Plan - Use when known |
4
|
https://nahdo.org/sopt |
DEPARTMENTS OF CORRECTIONS |
41
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https://nahdo.org/sopt |
Corrections Federal |
42
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https://nahdo.org/sopt |
Corrections State |
43
|
https://nahdo.org/sopt |
Corrections Local |
44
|
https://nahdo.org/sopt |
Corrections Unknown Level |
5
|
https://nahdo.org/sopt |
PRIVATE HEALTH INSURANCE |
51
|
https://nahdo.org/sopt |
Managed Care (Private) |
511
|
https://nahdo.org/sopt |
Commercial Managed Care - HMO |
512
|
https://nahdo.org/sopt |
Commercial Managed Care - PPO |
513
|
https://nahdo.org/sopt |
Commercial Managed Care - POS |
514
|
https://nahdo.org/sopt |
Exclusive Provider Organization |
515
|
https://nahdo.org/sopt |
Gatekeeper PPO (GPPO) |
516
|
https://nahdo.org/sopt |
Commercial Managed Care - Pharmacy Benefit Manager |
517
|
https://nahdo.org/sopt |
Commercial Managed Care - Dental |
519
|
https://nahdo.org/sopt |
Managed Care, Other (non HMO) |
52
|
https://nahdo.org/sopt |
Private Health Insurance - Indemnity |
521
|
https://nahdo.org/sopt |
Commercial Indemnity |
522
|
https://nahdo.org/sopt |
Self-insured (ERISA) Administrative Services Only (ASO) plan |
523
|
https://nahdo.org/sopt |
Medicare supplemental policy (as second payer) |
524
|
https://nahdo.org/sopt |
Indemnity Insurance - Dental |
529
|
https://nahdo.org/sopt |
Private health insurance--other commercial Indemnity |
53
|
https://nahdo.org/sopt |
Managed Care (private) or private health insurance (indemnity), not otherwise specified |
54
|
https://nahdo.org/sopt |
Organized Delivery System |
55
|
https://nahdo.org/sopt |
Small Employer Purchasing Group |
56
|
https://nahdo.org/sopt |
Specialized Stand-Alone Plan |
561
|
https://nahdo.org/sopt |
Dental |
562
|
https://nahdo.org/sopt |
Vision |
59
|
https://nahdo.org/sopt |
Other Private Insurance |
6
|
https://nahdo.org/sopt |
BLUE CROSS/BLUE SHIELD |
61
|
https://nahdo.org/sopt |
BC Managed Care |
611
|
https://nahdo.org/sopt |
BC Managed Care - HMO |
612
|
https://nahdo.org/sopt |
BC Managed Care - PPO |
613
|
https://nahdo.org/sopt |
BC Managed Care - POS |
614
|
https://nahdo.org/sopt |
BC Managed Care - Dental |
619
|
https://nahdo.org/sopt |
BC Managed Care - Other |
62
|
https://nahdo.org/sopt |
BC Insurance Indemnity |
621
|
https://nahdo.org/sopt |
BC Indemnity |
622
|
https://nahdo.org/sopt |
BC Self-insured (ERISA) Administrative Services Only (ASO)Plan |
623
|
https://nahdo.org/sopt |
BC Medicare Supplemental Plan |
629
|
https://nahdo.org/sopt |
BC Indemnity - Dental |
7
|
https://nahdo.org/sopt |
MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private) |
71
|
https://nahdo.org/sopt |
HMO |
72
|
https://nahdo.org/sopt |
PPO |
73
|
https://nahdo.org/sopt |
POS |
79
|
https://nahdo.org/sopt |
Other Managed Care |
8
|
https://nahdo.org/sopt |
NO PAYMENT from an Organization/Agency/Program/Private Payer Listed |
81
|
https://nahdo.org/sopt |
Self-pay (Includes applicants for insurance and Medicaid applicants) |
82
|
https://nahdo.org/sopt |
No Charge |
821
|
https://nahdo.org/sopt |
Charity |
822
|
https://nahdo.org/sopt |
Professional Courtesy |
823
|
https://nahdo.org/sopt |
Research/Clinical Trial |
83
|
https://nahdo.org/sopt |
Refusal to Pay/Bad Debt |
84
|
https://nahdo.org/sopt |
Hill Burton Free Care |
85
|
https://nahdo.org/sopt |
Research/Donor |
89
|
https://nahdo.org/sopt |
No Payment, Other |
9
|
https://nahdo.org/sopt |
MISCELLANEOUS/OTHER |
91
|
https://nahdo.org/sopt |
Foreign National |
92
|
https://nahdo.org/sopt |
Other (Non-government) |
93
|
https://nahdo.org/sopt |
Disability Insurance |
94
|
https://nahdo.org/sopt |
Long-term Care Insurance |
95
|
https://nahdo.org/sopt |
Worker's Compensation |
951
|
https://nahdo.org/sopt |
Worker's Comp HMO |
953
|
https://nahdo.org/sopt |
Worker's Comp Fee-for-Service |
954
|
https://nahdo.org/sopt |
Worker's Comp Other Managed Care |
959
|
https://nahdo.org/sopt |
Worker's Comp, Other unspecified |
96
|
https://nahdo.org/sopt |
Auto Insurance (includes no fault) |
97
|
https://nahdo.org/sopt |
Legal Liability / Liability Insurance |
98
|
https://nahdo.org/sopt |
Other specified but not otherwise classifiable (includes Hospice - Unspecified plan) |
99
|
https://nahdo.org/sopt |
No Typology Code available for payment source |
9999
|
https://nahdo.org/sopt |
Unavailable / No Payer Specified / Blank |