Current Build
{
"resourceType" : "ValueSet",
"id" : "primaryInsuranceClassification",
"meta" : {
"profile" : [
"http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml"><h2>FPAR Pirmary Insurance Classification value set</h2><div><p>Select SOP (Source Of Payment Typology) codes. A set of codes that describe how the primary insurance is classified.</p>
</div><p><b>Copyright Statement:</b> TBD</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>SOP (Source of Payment Typology)</code><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>1</td><td>MEDICARE</td><td/></tr><tr><td>11</td><td>Medicare (Managed Care)</td><td/></tr><tr><td>111</td><td>Medicare HMO</td><td/></tr><tr><td>112</td><td>Medicare PPO</td><td/></tr><tr><td>113</td><td>Medicare POS</td><td/></tr><tr><td>119</td><td>Medicare Managed Care Other</td><td/></tr><tr><td>12</td><td>Medicare (Non-managed Care)</td><td/></tr><tr><td>121</td><td>Medicare FFS</td><td/></tr><tr><td>122</td><td>Medicare Drug Benefit</td><td/></tr><tr><td>123</td><td>Medicare Medical Savings Account (MSA)</td><td/></tr><tr><td>129</td><td>Medicare Non-managed Care Other</td><td/></tr><tr><td>13</td><td>Medicare Hospice</td><td/></tr><tr><td>14</td><td>Dual Eligibility Medicare/Medicaid Organization</td><td/></tr><tr><td>19</td><td>Medicare Other</td><td/></tr><tr><td>191</td><td>Medicare Pharmacy Benefit Manager</td><td/></tr><tr><td>2</td><td>MEDICAID</td><td/></tr><tr><td>21</td><td>Medicaid (Managed Care)</td><td/></tr><tr><td>211</td><td>Medicaid HMO</td><td/></tr><tr><td>212</td><td>Medicaid PPO</td><td/></tr><tr><td>213</td><td>Medicaid PCCM (Primary Care Case Management)</td><td/></tr><tr><td>219</td><td>Medicaid Managed Care Other</td><td/></tr><tr><td>22</td><td>Medicaid (Non-managed Care Plan)</td><td/></tr><tr><td>23</td><td>Medicaid/SCHIP</td><td/></tr><tr><td>25</td><td>Medicaid - Out of State</td><td/></tr><tr><td>26</td><td>Medicaid -- Long Term Care</td><td/></tr><tr><td>29</td><td>Medicaid Other</td><td/></tr><tr><td>291</td><td>Medicaid Pharmacy Benefit Manager</td><td/></tr><tr><td>299</td><td>Medicaid - Dental</td><td/></tr><tr><td>3</td><td>OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections)</td><td/></tr><tr><td>31</td><td>Department of Defense</td><td/></tr><tr><td>311</td><td>TRICARE (CHAMPUS)</td><td/></tr><tr><td>3111</td><td>TRICARE Prime--HMO</td><td/></tr><tr><td>3112</td><td>TRICARE Extra--PPO</td><td/></tr><tr><td>3113</td><td>TRICARE Standard - Fee For Service</td><td/></tr><tr><td>3114</td><td>TRICARE For Life--Medicare Supplement</td><td/></tr><tr><td>3115</td><td>TRICARE Reserve Select</td><td/></tr><tr><td>3116</td><td>Uniformed Services Family Health Plan (USFHP) -- HMO</td><td/></tr><tr><td>3119</td><td>Department of Defense - (other)</td><td/></tr><tr><td>312</td><td>Military Treatment Facility</td><td/></tr><tr><td>3121</td><td>Enrolled Prime--HMO</td><td/></tr><tr><td>3122</td><td>Non-enrolled Space Available</td><td/></tr><tr><td>3123</td><td>TRICARE For Life (TFL)</td><td/></tr><tr><td>313</td><td>Dental --Stand Alone</td><td/></tr><tr><td>32</td><td>Department of Veterans Affairs</td><td/></tr><tr><td>321</td><td>Veteran care--Care provided to Veterans</td><td/></tr><tr><td>3211</td><td>Direct Care--Care provided in VA facilities</td><td/></tr><tr><td>3212</td><td>Indirect Care--Care provided outside VA facilities</td><td/></tr><tr><td>32121</td><td>Fee Basis</td><td/></tr><tr><td>32122</td><td>Foreign Fee/Foreign Medical Program (FMP)</td><td/></tr><tr><td>32123</td><td>Contract Nursing Home/Community Nursing Home</td><td/></tr><tr><td>32124</td><td>State Veterans Home</td><td/></tr><tr><td>32125</td><td>Sharing Agreements</td><td/></tr><tr><td>32126</td><td>Other Federal Agency</td><td/></tr><tr><td>32127</td><td>Dental Care</td><td/></tr><tr><td>32128</td><td>Vision Care</td><td/></tr><tr><td>322</td><td>Non-veteran care</td><td/></tr><tr><td>3221</td><td>Civilian Health and Medical Program for the VA (CHAMPVA)</td><td/></tr><tr><td>3222</td><td>Spina Bifida Health Care Program (SB)</td><td/></tr><tr><td>3223</td><td>Children of Women Vietnam Veterans (CWVV)</td><td/></tr><tr><td>3229</td><td>Other non-veteran care</td><td/></tr><tr><td>33</td><td>Indian Health Service or Tribe</td><td/></tr><tr><td>331</td><td>Indian Health Service -- Regular</td><td/></tr><tr><td>332</td><td>Indian Health Service -- Contract</td><td/></tr><tr><td>333</td><td>Indian Health Service - Managed Care</td><td/></tr><tr><td>334</td><td>Indian Tribe - Sponsored Coverage</td><td/></tr><tr><td>34</td><td>HRSA Program</td><td/></tr><tr><td>341</td><td>Title V (MCH Block Grant)</td><td/></tr><tr><td>342</td><td>Migrant Health Program</td><td/></tr><tr><td>343</td><td>Ryan White Act</td><td/></tr><tr><td>349</td><td>Other</td><td/></tr><tr><td>35</td><td>Black Lung</td><td/></tr><tr><td>36</td><td>State Government</td><td/></tr><tr><td>361</td><td>State SCHIP program (codes for individual states)</td><td/></tr><tr><td>362</td><td>Specific state programs (list/ local code)</td><td/></tr><tr><td>369</td><td>State, not otherwise specified (other state)</td><td/></tr><tr><td>37</td><td>Local Government</td><td/></tr><tr><td>371</td><td>Local - Managed care</td><td/></tr><tr><td>3711</td><td>HMO</td><td/></tr><tr><td>3712</td><td>PPO</td><td/></tr><tr><td>3713</td><td>POS</td><td/></tr><tr><td>372</td><td>FFS/Indemnity</td><td/></tr><tr><td>379</td><td>Local, not otherwise specified (other local, county)</td><td/></tr><tr><td>38</td><td>Other Government (Federal, State, Local not specified)</td><td/></tr><tr><td>381</td><td>Federal, State, Local not specified managed care</td><td/></tr><tr><td>3811</td><td>Federal, State, Local not specified - HMO</td><td/></tr><tr><td>3812</td><td>Federal, State, Local not specified - PPO</td><td/></tr><tr><td>3813</td><td>Federal, State, Local not specified - POS</td><td/></tr><tr><td>3819</td><td>Federal, State, Local not specified - not specified managed care</td><td/></tr><tr><td>382</td><td>Federal, State, Local not specified - FFS</td><td/></tr><tr><td>389</td><td>Federal, State, Local not specified - Other</td><td/></tr><tr><td>39</td><td>Other Federal</td><td/></tr><tr><td>391</td><td>Federal Employee Health Plan - Use when known</td><td/></tr><tr><td>4</td><td>DEPARTMENTS OF CORRECTIONS</td><td/></tr><tr><td>41</td><td>Corrections Federal</td><td/></tr><tr><td>42</td><td>Corrections State</td><td/></tr><tr><td>43</td><td>Corrections Local</td><td/></tr><tr><td>44</td><td>Corrections Unknown Level</td><td/></tr><tr><td>5</td><td>PRIVATE HEALTH INSURANCE</td><td/></tr><tr><td>51</td><td>Managed Care (Private)</td><td/></tr><tr><td>511</td><td>Commercial Managed Care - HMO</td><td/></tr><tr><td>512</td><td>Commercial Managed Care - PPO</td><td/></tr><tr><td>513</td><td>Commercial Managed Care - POS</td><td/></tr><tr><td>514</td><td>Exclusive Provider Organization</td><td/></tr><tr><td>515</td><td>Gatekeeper PPO (GPPO)</td><td/></tr><tr><td>516</td><td>Commercial Managed Care - Pharmacy Benefit Manager</td><td/></tr><tr><td>517</td><td>Commercial Managed Care - Dental</td><td/></tr><tr><td>519</td><td>Managed Care, Other (non HMO)</td><td/></tr><tr><td>52</td><td>Private Health Insurance - Indemnity</td><td/></tr><tr><td>521</td><td>Commercial Indemnity</td><td/></tr><tr><td>522</td><td>Self-insured (ERISA) Administrative Services Only (ASO) plan</td><td/></tr><tr><td>523</td><td>Medicare supplemental policy (as second payer)</td><td/></tr><tr><td>524</td><td>Indemnity Insurance - Dental</td><td/></tr><tr><td>529</td><td>Private health insurance--other commercial Indemnity</td><td/></tr><tr><td>53</td><td>Managed Care (private) or private health insurance (indemnity), not otherwise specified</td><td/></tr><tr><td>54</td><td>Organized Delivery System</td><td/></tr><tr><td>55</td><td>Small Employer Purchasing Group</td><td/></tr><tr><td>56</td><td>Specialized Stand Alone Plan</td><td/></tr><tr><td>561</td><td>Dental</td><td/></tr><tr><td>562</td><td>Vision</td><td/></tr><tr><td>59</td><td>Other Private Insurance</td><td/></tr><tr><td>6</td><td>BLUE CROSS/BLUE SHIELD</td><td/></tr><tr><td>61</td><td>BC Managed Care</td><td/></tr><tr><td>611</td><td>BC Managed Care -- HMO</td><td/></tr><tr><td>612</td><td>BC Managed Care -- PPO</td><td/></tr><tr><td>613</td><td>BC Managed Care -- POS</td><td/></tr><tr><td>614</td><td>BC Managed Care - Dental</td><td/></tr><tr><td>619</td><td>BC Managed Care -- Other</td><td/></tr><tr><td>62</td><td>BC Insurance Indemnity</td><td/></tr><tr><td>621</td><td>BC Indemnity</td><td/></tr><tr><td>622</td><td>BC Self-insured (ERISA) Administrative Services Only (ASO)Plan</td><td/></tr><tr><td>623</td><td>BC Medicare Supplemental Plan</td><td/></tr><tr><td>629</td><td>BC Indemnity - Dental</td><td/></tr><tr><td>7</td><td>MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)</td><td/></tr><tr><td>71</td><td>HMO</td><td/></tr><tr><td>72</td><td>PPO</td><td/></tr><tr><td>73</td><td>POS</td><td/></tr><tr><td>79</td><td>Other Managed Care</td><td/></tr><tr><td>8</td><td>NO PAYMENT from an Organization/Agency/Program/Private Payer Listed</td><td/></tr><tr><td>81</td><td>Self-pay (Includes applicants for insurance and Medicaid applicants)</td><td/></tr><tr><td>82</td><td>No Charge</td><td/></tr><tr><td>821</td><td>Charity</td><td/></tr><tr><td>822</td><td>Professional Courtesy</td><td/></tr><tr><td>823</td><td>Research/Clinical Trial</td><td/></tr><tr><td>83</td><td>Refusal to Pay/Bad Debt</td><td/></tr><tr><td>84</td><td>Hill Burton Free Care</td><td/></tr><tr><td>85</td><td>Research/Donor</td><td/></tr><tr><td>89</td><td>No Payment, Other</td><td/></tr><tr><td>9</td><td>MISCELLANEOUS/OTHER</td><td/></tr><tr><td>91</td><td>Foreign National</td><td/></tr><tr><td>92</td><td>Other (Non-government)</td><td/></tr><tr><td>93</td><td>Disability Insurance</td><td/></tr><tr><td>94</td><td>Long-term Care Insurance</td><td/></tr><tr><td>95</td><td>Worker's Compensation</td><td/></tr><tr><td>951</td><td>Worker's Comp HMO</td><td/></tr><tr><td>953</td><td>Worker's Comp Fee-for-Service</td><td/></tr><tr><td>954</td><td>Worker's Comp Other Managed Care</td><td/></tr><tr><td>959</td><td>Worker's Comp, Other unspecified</td><td/></tr><tr><td>96</td><td>Auto Insurance (includes no fault)</td><td/></tr><tr><td>97</td><td>Legal Liability / Liability Insurance</td><td/></tr><tr><td>98</td><td>Other specified but not otherwise classifiable (includes Hospice - Unspecified plan)</td><td/></tr><tr><td>99</td><td>No Typology Code available for payment source</td><td/></tr><tr><td>9999</td><td>Unavailable / No Payer Specified / Blank</td><td/></tr></table></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/valueset-extensible",
"valueBoolean" : true
}
],
"url" : "http://hl7.org/fhir/fpar/ValueSet/primaryInsuranceClassification",
"version" : "0.01",
"name" : "FPAR Pirmary Insurance Classification value set",
"status" : "draft",
"date" : "2018-03-29T00:00:00-04:00",
"publisher" : "Family Planning Annual Report",
"description" : "Select SOP (Source Of Payment Typology) codes. A set of codes that describe how the primary insurance is classified.",
"immutable" : true,
"copyright" : "TBD",
"extensible" : true,
"compose" : {
"include" : [
{
"system" : "SOP (Source of Payment Typology)",
"concept" : [
{
"code" : "1",
"display" : "MEDICARE"
},
{
"code" : "11",
"display" : "Medicare (Managed Care)"
},
{
"code" : "111",
"display" : "Medicare HMO"
},
{
"code" : "112",
"display" : "Medicare PPO"
},
{
"code" : "113",
"display" : "Medicare POS"
},
{
"code" : "119",
"display" : "Medicare Managed Care Other"
},
{
"code" : "12",
"display" : "Medicare (Non-managed Care)"
},
{
"code" : "121",
"display" : "Medicare FFS"
},
{
"code" : "122",
"display" : "Medicare Drug Benefit"
},
{
"code" : "123",
"display" : "Medicare Medical Savings Account (MSA)"
},
{
"code" : "129",
"display" : "Medicare Non-managed Care Other"
},
{
"code" : "13",
"display" : "Medicare Hospice"
},
{
"code" : "14",
"display" : "Dual Eligibility Medicare/Medicaid Organization"
},
{
"code" : "19",
"display" : "Medicare Other"
},
{
"code" : "191",
"display" : "Medicare Pharmacy Benefit Manager"
},
{
"code" : "2",
"display" : "MEDICAID"
},
{
"code" : "21",
"display" : "Medicaid (Managed Care)"
},
{
"code" : "211",
"display" : "Medicaid HMO"
},
{
"code" : "212",
"display" : "Medicaid PPO"
},
{
"code" : "213",
"display" : "Medicaid PCCM (Primary Care Case Management)"
},
{
"code" : "219",
"display" : "Medicaid Managed Care Other"
},
{
"code" : "22",
"display" : "Medicaid (Non-managed Care Plan)"
},
{
"code" : "23",
"display" : "Medicaid/SCHIP"
},
{
"code" : "25",
"display" : "Medicaid - Out of State"
},
{
"code" : "26",
"display" : "Medicaid -- Long Term Care"
},
{
"code" : "29",
"display" : "Medicaid Other"
},
{
"code" : "291",
"display" : "Medicaid Pharmacy Benefit Manager"
},
{
"code" : "299",
"display" : "Medicaid - Dental"
},
{
"code" : "3",
"display" : "OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections)"
},
{
"code" : "31",
"display" : "Department of Defense"
},
{
"code" : "311",
"display" : "TRICARE (CHAMPUS)"
},
{
"code" : "3111",
"display" : "TRICARE Prime--HMO"
},
{
"code" : "3112",
"display" : "TRICARE Extra--PPO"
},
{
"code" : "3113",
"display" : "TRICARE Standard - Fee For Service"
},
{
"code" : "3114",
"display" : "TRICARE For Life--Medicare Supplement"
},
{
"code" : "3115",
"display" : "TRICARE Reserve Select"
},
{
"code" : "3116",
"display" : "Uniformed Services Family Health Plan (USFHP) -- HMO"
},
{
"code" : "3119",
"display" : "Department of Defense - (other)"
},
{
"code" : "312",
"display" : "Military Treatment Facility"
},
{
"code" : "3121",
"display" : "Enrolled Prime--HMO"
},
{
"code" : "3122",
"display" : "Non-enrolled Space Available"
},
{
"code" : "3123",
"display" : "TRICARE For Life (TFL)"
},
{
"code" : "313",
"display" : "Dental --Stand Alone"
},
{
"code" : "32",
"display" : "Department of Veterans Affairs"
},
{
"code" : "321",
"display" : "Veteran care--Care provided to Veterans"
},
{
"code" : "3211",
"display" : "Direct Care--Care provided in VA facilities"
},
{
"code" : "3212",
"display" : "Indirect Care--Care provided outside VA facilities"
},
{
"code" : "32121",
"display" : "Fee Basis"
},
{
"code" : "32122",
"display" : "Foreign Fee/Foreign Medical Program (FMP)"
},
{
"code" : "32123",
"display" : "Contract Nursing Home/Community Nursing Home"
},
{
"code" : "32124",
"display" : "State Veterans Home"
},
{
"code" : "32125",
"display" : "Sharing Agreements"
},
{
"code" : "32126",
"display" : "Other Federal Agency"
},
{
"code" : "32127",
"display" : "Dental Care"
},
{
"code" : "32128",
"display" : "Vision Care"
},
{
"code" : "322",
"display" : "Non-veteran care"
},
{
"code" : "3221",
"display" : "Civilian Health and Medical Program for the VA (CHAMPVA)"
},
{
"code" : "3222",
"display" : "Spina Bifida Health Care Program (SB)"
},
{
"code" : "3223",
"display" : "Children of Women Vietnam Veterans (CWVV)"
},
{
"code" : "3229",
"display" : "Other non-veteran care"
},
{
"code" : "33",
"display" : "Indian Health Service or Tribe"
},
{
"code" : "331",
"display" : "Indian Health Service -- Regular"
},
{
"code" : "332",
"display" : "Indian Health Service -- Contract"
},
{
"code" : "333",
"display" : "Indian Health Service - Managed Care"
},
{
"code" : "334",
"display" : "Indian Tribe - Sponsored Coverage"
},
{
"code" : "34",
"display" : "HRSA Program"
},
{
"code" : "341",
"display" : "Title V (MCH Block Grant)"
},
{
"code" : "342",
"display" : "Migrant Health Program"
},
{
"code" : "343",
"display" : "Ryan White Act"
},
{
"code" : "349",
"display" : "Other"
},
{
"code" : "35",
"display" : "Black Lung"
},
{
"code" : "36",
"display" : "State Government"
},
{
"code" : "361",
"display" : "State SCHIP program (codes for individual states)"
},
{
"code" : "362",
"display" : "Specific state programs (list/ local code)"
},
{
"code" : "369",
"display" : "State, not otherwise specified (other state)"
},
{
"code" : "37",
"display" : "Local Government"
},
{
"code" : "371",
"display" : "Local - Managed care"
},
{
"code" : "3711",
"display" : "HMO"
},
{
"code" : "3712",
"display" : "PPO"
},
{
"code" : "3713",
"display" : "POS"
},
{
"code" : "372",
"display" : "FFS/Indemnity"
},
{
"code" : "379",
"display" : "Local, not otherwise specified (other local, county)"
},
{
"code" : "38",
"display" : "Other Government (Federal, State, Local not specified)"
},
{
"code" : "381",
"display" : "Federal, State, Local not specified managed care"
},
{
"code" : "3811",
"display" : "Federal, State, Local not specified - HMO"
},
{
"code" : "3812",
"display" : "Federal, State, Local not specified - PPO"
},
{
"code" : "3813",
"display" : "Federal, State, Local not specified - POS"
},
{
"code" : "3819",
"display" : "Federal, State, Local not specified - not specified managed care"
},
{
"code" : "382",
"display" : "Federal, State, Local not specified - FFS"
},
{
"code" : "389",
"display" : "Federal, State, Local not specified - Other"
},
{
"code" : "39",
"display" : "Other Federal"
},
{
"code" : "391",
"display" : "Federal Employee Health Plan - Use when known"
},
{
"code" : "4",
"display" : "DEPARTMENTS OF CORRECTIONS"
},
{
"code" : "41",
"display" : "Corrections Federal"
},
{
"code" : "42",
"display" : "Corrections State"
},
{
"code" : "43",
"display" : "Corrections Local"
},
{
"code" : "44",
"display" : "Corrections Unknown Level"
},
{
"code" : "5",
"display" : "PRIVATE HEALTH INSURANCE"
},
{
"code" : "51",
"display" : "Managed Care (Private)"
},
{
"code" : "511",
"display" : "Commercial Managed Care - HMO"
},
{
"code" : "512",
"display" : "Commercial Managed Care - PPO"
},
{
"code" : "513",
"display" : "Commercial Managed Care - POS"
},
{
"code" : "514",
"display" : "Exclusive Provider Organization"
},
{
"code" : "515",
"display" : "Gatekeeper PPO (GPPO)"
},
{
"code" : "516",
"display" : "Commercial Managed Care - Pharmacy Benefit Manager"
},
{
"code" : "517",
"display" : "Commercial Managed Care - Dental"
},
{
"code" : "519",
"display" : "Managed Care, Other (non HMO)"
},
{
"code" : "52",
"display" : "Private Health Insurance - Indemnity"
},
{
"code" : "521",
"display" : "Commercial Indemnity"
},
{
"code" : "522",
"display" : "Self-insured (ERISA) Administrative Services Only (ASO) plan"
},
{
"code" : "523",
"display" : "Medicare supplemental policy (as second payer)"
},
{
"code" : "524",
"display" : "Indemnity Insurance - Dental"
},
{
"code" : "529",
"display" : "Private health insurance--other commercial Indemnity"
},
{
"code" : "53",
"display" : "Managed Care (private) or private health insurance (indemnity), not otherwise specified"
},
{
"code" : "54",
"display" : "Organized Delivery System"
},
{
"code" : "55",
"display" : "Small Employer Purchasing Group"
},
{
"code" : "56",
"display" : "Specialized Stand Alone Plan"
},
{
"code" : "561",
"display" : "Dental"
},
{
"code" : "562",
"display" : "Vision"
},
{
"code" : "59",
"display" : "Other Private Insurance"
},
{
"code" : "6",
"display" : "BLUE CROSS/BLUE SHIELD"
},
{
"code" : "61",
"display" : "BC Managed Care"
},
{
"code" : "611",
"display" : "BC Managed Care -- HMO"
},
{
"code" : "612",
"display" : "BC Managed Care -- PPO"
},
{
"code" : "613",
"display" : "BC Managed Care -- POS"
},
{
"code" : "614",
"display" : "BC Managed Care - Dental"
},
{
"code" : "619",
"display" : "BC Managed Care -- Other"
},
{
"code" : "62",
"display" : "BC Insurance Indemnity"
},
{
"code" : "621",
"display" : "BC Indemnity"
},
{
"code" : "622",
"display" : "BC Self-insured (ERISA) Administrative Services Only (ASO)Plan"
},
{
"code" : "623",
"display" : "BC Medicare Supplemental Plan"
},
{
"code" : "629",
"display" : "BC Indemnity - Dental"
},
{
"code" : "7",
"display" : "MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)"
},
{
"code" : "71",
"display" : "HMO"
},
{
"code" : "72",
"display" : "PPO"
},
{
"code" : "73",
"display" : "POS"
},
{
"code" : "79",
"display" : "Other Managed Care"
},
{
"code" : "8",
"display" : "NO PAYMENT from an Organization/Agency/Program/Private Payer Listed"
},
{
"code" : "81",
"display" : "Self-pay (Includes applicants for insurance and Medicaid applicants)"
},
{
"code" : "82",
"display" : "No Charge"
},
{
"code" : "821",
"display" : "Charity"
},
{
"code" : "822",
"display" : "Professional Courtesy"
},
{
"code" : "823",
"display" : "Research/Clinical Trial"
},
{
"code" : "83",
"display" : "Refusal to Pay/Bad Debt"
},
{
"code" : "84",
"display" : "Hill Burton Free Care"
},
{
"code" : "85",
"display" : "Research/Donor"
},
{
"code" : "89",
"display" : "No Payment, Other"
},
{
"code" : "9",
"display" : "MISCELLANEOUS/OTHER"
},
{
"code" : "91",
"display" : "Foreign National"
},
{
"code" : "92",
"display" : "Other (Non-government)"
},
{
"code" : "93",
"display" : "Disability Insurance"
},
{
"code" : "94",
"display" : "Long-term Care Insurance"
},
{
"code" : "95",
"display" : "Worker's Compensation"
},
{
"code" : "951",
"display" : "Worker's Comp HMO"
},
{
"code" : "953",
"display" : "Worker's Comp Fee-for-Service"
},
{
"code" : "954",
"display" : "Worker's Comp Other Managed Care"
},
{
"code" : "959",
"display" : "Worker's Comp, Other unspecified"
},
{
"code" : "96",
"display" : "Auto Insurance (includes no fault)"
},
{
"code" : "97",
"display" : "Legal Liability / Liability Insurance"
},
{
"code" : "98",
"display" : "Other specified but not otherwise classifiable (includes Hospice - Unspecified plan)"
},
{
"code" : "99",
"display" : "No Typology Code available for payment source"
},
{
"code" : "9999",
"display" : "Unavailable / No Payer Specified / Blank"
}
]
}
]
}
}
© HL7.org 2011+. FHIR STU3 Candidate (v3.0.1-11917) generated on
Fri, Feb 15, 2019 12:55-0500. QA Page
Links: Search 
| Version History | Table of Contents
| 
| Propose a change