Value Set SourceofPaymentTypologyPHDSC

2.16.840.1.114222.4.11.3591

Effective Date

2013‑01‑31

Status

Final

Version Label

Name

SourceofPaymentTypologyPHDSC

Display Name

Source of Payment Typology (PHDSC)

Source Code System

2.16.840.1.113883.3.221.5 - Source of Payment Typology - FHIR: urn:oid:2.16.840.1.113883.3.221.5

Level/ Type	Code	Display Name	Code System
0‑L	1	Medicare	Source of Payment Typology
0‑L	2	Medicaid	Source of Payment Typology
0‑L	311	Tricare (CHAMPUS)	Source of Payment Typology
0‑L	33	Indian Health Service or Tribe	Source of Payment Typology
0‑L	62	BC Indemnity	Source of Payment Typology
0‑L	61	BC Managed Care	Source of Payment Typology
0‑L	611	BC Managed Care - HMO	Source of Payment Typology
0‑L	619	BC Managed Care - Other	Source of Payment Typology
0‑L	613	BC Managed Care - POS	Source of Payment Typology
0‑L	612	BC Managed Care - PPO	Source of Payment Typology
0‑L	35	Black Lung	Source of Payment Typology
0‑L	6	BLUE CROSS/BLUE SHIELD	Source of Payment Typology
0‑L	821	Charity	Source of Payment Typology
0‑L	3223	Children of Women Vietnam Veterans (CWVV)	Source of Payment Typology
0‑L	3221	Civilian Health and Medical Program for the VA (CHAMPVA)	Source of Payment Typology
0‑L	521	Commercial Indemnity	Source of Payment Typology
0‑L	511	Commercial Managed Care - HMO	Source of Payment Typology
0‑L	513	Commercial Managed Care - POS	Source of Payment Typology
0‑L	512	Commercial Managed Care - PPO	Source of Payment Typology
0‑L	32123	Contract Nursing Home/Community Nursing Home	Source of Payment Typology
0‑L	41	Corrections Federal	Source of Payment Typology
0‑L	43	Corrections Local	Source of Payment Typology
0‑L	42	Corrections State	Source of Payment Typology
0‑L	44	Corrections Unknown Level	Source of Payment Typology
0‑L	313	Dental --Stand Alone	Source of Payment Typology
0‑L	31	Department of Defense	Source of Payment Typology
0‑L	3119	Department of Defense - (other)	Source of Payment Typology
0‑L	32	Department of Veterans Affairs	Source of Payment Typology
0‑L	4	DEPARTMENTS OF CORRECTIONS	Source of Payment Typology
0‑L	3211	Direct Care--Care provided in VA facilities	Source of Payment Typology
0‑L	93	Disability Insurance	Source of Payment Typology
0‑L	3121	Enrolled Prime--HMO	Source of Payment Typology
0‑L	514	Exclusive Provider Organization	Source of Payment Typology
0‑L	382	Federal, State, Local not specified - FFS	Source of Payment Typology
0‑L	3811	Federal, State, Local not specified - HMO	Source of Payment Typology
0‑L	3819	Federal, State, Local not specified - not specified managed care	Source of Payment Typology
0‑L	389	Federal, State, Local not specified - Other	Source of Payment Typology
0‑L	3813	Federal, State, Local not specified - POS	Source of Payment Typology
0‑L	3812	Federal, State, Local not specified - PPO	Source of Payment Typology
0‑L	381	Federal, State, Local not specified managed care	Source of Payment Typology
0‑L	32121	Fee Basis	Source of Payment Typology
0‑L	372	FFS/Indemnity	Source of Payment Typology
0‑L	32122	Foreign Fee/Foreign Medical Program(FMP)	Source of Payment Typology
0‑L	91	Foreign National	Source of Payment Typology
0‑L	515	Gatekeeper PPO (GPPO)	Source of Payment Typology
0‑L	84	Hill Burton Free Care	Source of Payment Typology
0‑L	71	HMO	Source of Payment Typology
0‑L	3711	HMO	Source of Payment Typology
0‑L	34	HRSA Program	Source of Payment Typology
0‑L	332	Indian Health Service - Contract	Source of Payment Typology
0‑L	333	Indian Health Service - Managed Care	Source of Payment Typology
0‑L	331	Indian Health Service - Regular	Source of Payment Typology
0‑L	33	Indian Health Service or Tribe	Source of Payment Typology
0‑L	334	Indian Tribe - Sponsored Coverage	Source of Payment Typology
0‑L	3212	Indirect Care--Care provided outside VA facilities	Source of Payment Typology
0‑L	371	Local - Managed care	Source of Payment Typology
0‑L	37	Local Government	Source of Payment Typology
0‑L	379	Local, not otherwise specified (other local, county)	Source of Payment Typology
0‑L	94	Long-term Care Insurance	Source of Payment Typology
0‑L	51	Managed Care (Private)	Source of Payment Typology
0‑L	53	Managed Care (private) or private health insurance (indemnity), not otherwise specified	Source of Payment Typology
0‑L	519	Managed Care, Other (non HMO)	Source of Payment Typology
0‑L	7	MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)	Source of Payment Typology
0‑L	2	MEDICAID	Source of Payment Typology
0‑L	25	Medicaid - Out of State	Source of Payment Typology
0‑L	21	Medicaid (Managed Care)	Source of Payment Typology
0‑L	22	Medicaid (Non-managed Care Plan)	Source of Payment Typology
0‑L	24	Medicaid Applicant	Source of Payment Typology
0‑L	211	Medicaid HMO	Source of Payment Typology
0‑L	219	Medicaid Managed Care Other	Source of Payment Typology
0‑L	29	Medicaid Other	Source of Payment Typology
0‑L	213	Medicaid PCCM (Primary Care Case Management)	Source of Payment Typology
0‑L	212	Medicaid PPO	Source of Payment Typology
0‑L	23	Medicaid/SCHIP	Source of Payment Typology
0‑L	1	MEDICARE	Source of Payment Typology
0‑L	11	Medicare (Managed Care)	Source of Payment Typology
0‑L	12	Medicare (Non-managed Care)	Source of Payment Typology
0‑L	122	Medicare Drug Benefit	Source of Payment Typology
0‑L	121	Medicare FFS	Source of Payment Typology
0‑L	111	Medicare HMO	Source of Payment Typology
0‑L	119	Medicare Managed Care Other	Source of Payment Typology
0‑L	123	Medicare Medical Savings Account (MSA)	Source of Payment Typology
0‑L	129	Medicare Non-managed Care Other	Source of Payment Typology
0‑L	19	Medicare Other	Source of Payment Typology
0‑L	113	Medicare POS	Source of Payment Typology
0‑L	112	Medicare PPO	Source of Payment Typology
0‑L	523	Medicare supplemental policy (as second payer)	Source of Payment Typology
0‑L	342	Migrant Health Program	Source of Payment Typology
0‑L	312	Military Treatment Facility	Source of Payment Typology
0‑L	9	MISCELLANEOUS/OTHER	Source of Payment Typology
0‑L	82	No Charge	Source of Payment Typology
0‑L	8	NO PAYMENT from an Organization/Agency/Program/Private Payer Listed	Source of Payment Typology
0‑L	89	No Payment, Other	Source of Payment Typology
0‑L	99	No Typology Code available for payment source	Source of Payment Typology
0‑L	3122	Non-enrolled Space Available	Source of Payment Typology
0‑L	322	Non-veteran care	Source of Payment Typology
0‑L	54	Organized Delivery System	Source of Payment Typology
0‑L	349	Other	Source of Payment Typology
0‑L	92	Other (Non-government)	Source of Payment Typology
0‑L	39	Other Federal	Source of Payment Typology
0‑L	32126	Other Federal Agency	Source of Payment Typology
0‑L	38	Other Government (Federal, State, Local not specified)	Source of Payment Typology
0‑L	3	OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections)	Source of Payment Typology
0‑L	79	Other Managed Care, Unknown if public or private	Source of Payment Typology
0‑L	3229	Other non-veteran care	Source of Payment Typology
0‑L	59	Other Private Insurance	Source of Payment Typology
0‑L	98	Other specified (includes Hospice - Unspecified plan)	Source of Payment Typology
0‑L	73	POS	Source of Payment Typology
0‑L	3713	POS	Source of Payment Typology
0‑L	72	PPO	Source of Payment Typology
0‑L	3712	PPO	Source of Payment Typology
0‑L	5	PRIVATE HEALTH INSURANCE	Source of Payment Typology
0‑L	52	Private Health Insurance - Indemnity	Source of Payment Typology
0‑L	529	Private health insurance-other commercial Indemnity	Source of Payment Typology
0‑L	822	Professional Courtesy	Source of Payment Typology
0‑L	83	Refusal to Pay/Bad Debt	Source of Payment Typology
0‑L	823	Research/Clinical Trial	Source of Payment Typology
0‑L	85	Research/Donor	Source of Payment Typology
0‑L	343	Ryan White Act	Source of Payment Typology
0‑L	522	Self-insured (ERISA) Administrative Services Only (ASO) plan	Source of Payment Typology
0‑L	81	Self-pay	Source of Payment Typology
0‑L	32125	Sharing Agreements	Source of Payment Typology
0‑L	55	Small Employer Purchasing Group	Source of Payment Typology
0‑L	362	Specific state programs (list/ local code)	Source of Payment Typology
0‑L	3222	Spina Bifida Health Care Program (SB)	Source of Payment Typology
0‑L	36	State Government	Source of Payment Typology
0‑L	361	State SCHIP program (codes for individual states)	Source of Payment Typology
0‑L	32124	State Veterans Home	Source of Payment Typology
0‑L	369	State, not otherwise specified (other state)	Source of Payment Typology
0‑L	341	Title V (MCH Block Grant)	Source of Payment Typology
0‑L	311	TRICARE (CHAMPUS)	Source of Payment Typology
0‑L	3112	TRICARE Extra--PPO	Source of Payment Typology
0‑L	3123	TRICARE For Life (TFL)	Source of Payment Typology
0‑L	3114	TRICARE For Life--Medicare Supplement	Source of Payment Typology
0‑L	3111	TRICARE Prime--HMO	Source of Payment Typology
0‑L	3115	TRICARE Reserve Select	Source of Payment Typology
0‑L	3113	TRICARE Standard - Fee For Service	Source of Payment Typology
0‑L	9999	Unavailable / Unknown	Source of Payment Typology
0‑L	3116	Uniformed Services Family Health Plan (USFHP) -- HMO	Source of Payment Typology
0‑L	321	Veteran care--Care provided to Veterans	Source of Payment Typology
0‑L	953	Worker's Comp Fee-for-Service	Source of Payment Typology
0‑L	951	Worker's Comp HMO	Source of Payment Typology
0‑L	954	Worker's Comp Other Managed Care	Source of Payment Typology
0‑L	959	Worker's Comp, Other unspecified	Source of Payment Typology
0‑L	95	Worker's Compensation	Source of Payment Typology

Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavor OTH (other) suggests text in originalText. HL7 V3: NullFlavors to appear in @nullFlavor attribute instead of @code.

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