Payer (1141)    NLM VALUE SETS (802.2)

Name Value
NAME Payer
OID 2.16.840.1.114222.4.11.3591
SHORT ID P91
VERSION DATE 2017-01-06 00:00:00
CODE LIST
  • CODES:
    • CODE DESCRIPTION:   
      MEDICARE
    • CODE DESCRIPTION:   
      Medicare (Managed Care)
    • CODE DESCRIPTION:   
      Managed Care, Other (non HMO)
    • CODE DESCRIPTION:   
      Commercial Indemnity
    • CODE DESCRIPTION:   
      Self-insured (ERISA) Administrative Services Only (ASO) plan
    • CODE DESCRIPTION:   
      Medicare supplemental policy (as second payer)
    • CODE DESCRIPTION:   
      Private health insurance-other commercial Indemnity
    • CODE DESCRIPTION:   
      BC Managed Care - HMO
    • CODE DESCRIPTION:   
      BC Managed Care - PPO
    • CODE DESCRIPTION:   
      BC Managed Care - POS
    • CODE DESCRIPTION:   
      BC Managed Care - Other
    • CODE DESCRIPTION:   
      Charity
    • CODE DESCRIPTION:   
      Medicare (Non-managed Care)
    • CODE DESCRIPTION:   
      Professional Courtesy
    • CODE DESCRIPTION:   
      Research/Clinical Trial
    • CODE DESCRIPTION:   
      Worker's Comp HMO
    • CODE DESCRIPTION:   
      Worker's Comp Fee-for-Service
    • CODE DESCRIPTION:   
      Worker's Comp Other Managed Care
    • CODE DESCRIPTION:   
      Worker's Comp, Other unspecified
    • CODE DESCRIPTION:   
      TRICARE Prime-HMO
    • CODE DESCRIPTION:   
      TRICARE Extra-PPO
    • CODE DESCRIPTION:   
      TRICARE Standard - Fee For Service
    • CODE DESCRIPTION:   
      TRICARE For Life--Medicare Supplement
    • CODE DESCRIPTION:   
      Medicare Other
    • CODE DESCRIPTION:   
      TRICARE Reserve Select
    • CODE DESCRIPTION:   
      Uniformed Services Family Health Plan (USFHP) -- HMO
    • CODE DESCRIPTION:   
      Department of Defense - (other)
    • CODE DESCRIPTION:   
      Enrolled Prime-HMO
    • CODE DESCRIPTION:   
      Non-enrolled Space Available
    • CODE DESCRIPTION:   
      TRICARE For Life (TFL)
    • CODE DESCRIPTION:   
      Direct Care--Care provided in VA facilities
    • CODE DESCRIPTION:   
      Indirect Care--Care provided outside VA facilities
    • CODE DESCRIPTION:   
      Civilian Health and Medical Program for the VA (CHAMPVA)
    • CODE DESCRIPTION:   
      Spina Bifida Health Care Program (SB)
    • CODE DESCRIPTION:   
      Medicaid (Managed Care)
    • CODE DESCRIPTION:   
      Children of Women Vietnam Veterans (CWVV)
    • CODE DESCRIPTION:   
      Other non-veteran care
    • CODE DESCRIPTION:   
      HMO
    • CODE DESCRIPTION:   
      PPO
    • CODE DESCRIPTION:   
      POS
    • CODE DESCRIPTION:   
      Federal, State, Local not specified - HMO
    • CODE DESCRIPTION:   
      Federal, State, Local not specified - PPO
    • CODE DESCRIPTION:   
      Federal, State, Local not specified - POS
    • CODE DESCRIPTION:   
      Federal, State, Local not specified - not specified managed care
    • CODE DESCRIPTION:   
      Unavailable / Unknown
    • CODE DESCRIPTION:   
      Medicaid (Non-managed Care Plan)
    • CODE DESCRIPTION:   
      Fee Basis
    • CODE DESCRIPTION:   
      Foreign Fee/Foreign Medical Program(FMP)
    • CODE DESCRIPTION:   
      Contract Nursing Home/Community Nursing Home
    • CODE DESCRIPTION:   
      State Veterans Home
    • CODE DESCRIPTION:   
      Sharing Agreements
    • CODE DESCRIPTION:   
      Other Federal Agency
    • CODE DESCRIPTION:   
      Medicaid/SCHIP
    • CODE DESCRIPTION:   
      Medicaid Applicant
    • CODE DESCRIPTION:   
      Medicaid - Out of State
    • CODE DESCRIPTION:   
      Medicaid Other
    • CODE DESCRIPTION:   
      Department of Defense
    • CODE DESCRIPTION:   
      MEDICAID
    • CODE DESCRIPTION:   
      Department of Veterans Affairs
    • CODE DESCRIPTION:   
      Indian Health Service or Tribe
    • CODE DESCRIPTION:   
      HRSA Program
    • CODE DESCRIPTION:   
      Black Lung
    • CODE DESCRIPTION:   
      State Government
    • CODE DESCRIPTION:   
      Local Government
    • CODE DESCRIPTION:   
      Other Government (Federal, State, Local not specified)
    • CODE DESCRIPTION:   
      Other Federal
    • CODE DESCRIPTION:   
      Corrections Federal
    • CODE DESCRIPTION:   
      Corrections State
    • CODE DESCRIPTION:   
      OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections)
    • CODE DESCRIPTION:   
      Corrections Local
    • CODE DESCRIPTION:   
      Corrections Unknown Level
    • CODE DESCRIPTION:   
      Managed Care (Private)
    • CODE DESCRIPTION:   
      Private Health Insurance - Indemnity
    • CODE DESCRIPTION:   
      Managed Care (private) or private health insurance (indemnity), not otherwise 
specified
    • CODE DESCRIPTION:   
      Organized Delivery System
    • CODE DESCRIPTION:   
      Small Employer Purchasing Group
    • CODE DESCRIPTION:   
      Other Private Insurance
    • CODE DESCRIPTION:   
      BC Managed Care
    • CODE DESCRIPTION:   
      BC Indemnity
    • CODE DESCRIPTION:   
      DEPARTMENTS OF CORRECTIONS
    • CODE DESCRIPTION:   
      BC (Indemnity or Managed Care) - Out of State
    • CODE DESCRIPTION:   
      BC (Indemnity or Managed Care) - Unspecified
    • CODE DESCRIPTION:   
      BC (Indemnity or Managed Care) - Other
    • CODE DESCRIPTION:   
      HMO
    • CODE DESCRIPTION:   
      PPO
    • CODE DESCRIPTION:   
      POS
    • CODE DESCRIPTION:   
      Other Managed Care, Unknown if public or private
    • CODE DESCRIPTION:   
      Self-pay
    • CODE DESCRIPTION:   
      No Charge
    • CODE DESCRIPTION:   
      Refusal to Pay/Bad Debt
    • CODE DESCRIPTION:   
      PRIVATE HEALTH INSURANCE
    • CODE DESCRIPTION:   
      Hill Burton Free Care
    • CODE DESCRIPTION:   
      Research/Donor
    • CODE DESCRIPTION:   
      No Payment, Other
    • CODE DESCRIPTION:   
      Foreign National
    • CODE DESCRIPTION:   
      Other (Non-government)
    • CODE DESCRIPTION:   
      Disability Insurance
    • CODE DESCRIPTION:   
      Long-term Care Insurance
    • CODE DESCRIPTION:   
      Worker's Compensation
    • CODE DESCRIPTION:   
      Auto Insurance (no fault)
    • CODE DESCRIPTION:   
      Other specified (includes Hospice - Unspecified plan)
    • CODE DESCRIPTION:   
      BLUE CROSS/BLUE SHIELD
    • CODE DESCRIPTION:   
      No Typology Code available for payment source
    • CODE DESCRIPTION:   
      Medicare HMO
    • CODE DESCRIPTION:   
      Medicare PPO
    • CODE DESCRIPTION:   
      Medicare POS
    • CODE DESCRIPTION:   
      Medicare Managed Care Other
    • CODE DESCRIPTION:   
      Medicare FFS
    • CODE DESCRIPTION:   
      Medicare Drug Benefit
    • CODE DESCRIPTION:   
      Medicare Medical Savings Account (MSA)
    • CODE DESCRIPTION:   
      Medicare Non-managed Care Other
    • CODE DESCRIPTION:   
      Medicaid HMO
    • CODE DESCRIPTION:   
      MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public 
from private)
    • CODE DESCRIPTION:   
      Medicaid PPO
    • CODE DESCRIPTION:   
      Medicaid PCCM (Primary Care Case Management)
    • CODE DESCRIPTION:   
      Medicaid Managed Care Other
    • CODE DESCRIPTION:   
      TRICARE (CHAMPUS)
    • CODE DESCRIPTION:   
      Military Treatment Facility
    • CODE DESCRIPTION:   
      Dental --Stand Alone
    • CODE DESCRIPTION:   
      Veteran care--Care provided to Veterans
    • CODE DESCRIPTION:   
      Non-veteran care
    • CODE DESCRIPTION:   
      Indian Health Service - Regular
    • CODE DESCRIPTION:   
      Indian Health Service - Contract
    • CODE DESCRIPTION:   
      NO PAYMENT from an Organization/Agency/Program/Private Payer Listed
    • CODE DESCRIPTION:   
      Indian Health Service - Managed Care
    • CODE DESCRIPTION:   
      Indian Tribe - Sponsored Coverage
    • CODE DESCRIPTION:   
      Title V (MCH Block Grant)
    • CODE DESCRIPTION:   
      Migrant Health Program
    • CODE DESCRIPTION:   
      Ryan White Act
    • CODE DESCRIPTION:   
      Other
    • CODE DESCRIPTION:   
      State SCHIP program (codes for individual states)
    • CODE DESCRIPTION:   
      Specific state programs (list/ local code)
    • CODE DESCRIPTION:   
      State, not otherwise specified (other state)
    • CODE DESCRIPTION:   
      Local - Managed care
    • CODE DESCRIPTION:   
      MISCELLANEOUS/OTHER
    • CODE DESCRIPTION:   
      FFS/Indemnity
    • CODE DESCRIPTION:   
      Local, not otherwise specified (other local, county)
    • CODE DESCRIPTION:   
      Federal, State, Local not specified managed care
    • CODE DESCRIPTION:   
      Federal, State, Local not specified - FFS
    • CODE DESCRIPTION:   
      Federal, State, Local not specified - Other
    • CODE DESCRIPTION:   
      Commercial Managed Care - HMO
    • CODE DESCRIPTION:   
      Commercial Managed Care - PPO
    • CODE DESCRIPTION:   
      Commercial Managed Care - POS
    • CODE DESCRIPTION:   
      Exclusive Provider Organization
    • CODE DESCRIPTION:   
      Gatekeeper PPO (GPPO)
MEASURE LIST