ValueSet-2.16.840.1.114222.4.11.3591

Sourceus.nlm.vsac#0.11.0:null (v4.0.1)
resourceTypeValueSet
id2.16.840.1.114222.4.11.3591
canonicalhttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
version20221118
statusactive
publisherHL7 Terminology
namePayerType
titlePayer Type
date2022-11-18T01:02:49-05:00
experimentalfalse
descriptionName changed on 2023-06-02 per JIRA https://jira.hl7.org/browse/FHIR-39982
Usages

This value set contains 167 concepts

Code System Display
  1 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 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 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 https://nahdo.org/sopt Corrections Federal
  42 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

Produced 08 Sep 2023